Neurointervention.  2018 Mar;13(1):54-57. 10.5469/neuroint.2018.13.1.54.

Symptomatic Post Endarterectomy Common Carotid Artery Pseudoaneurysm Treated with Combination of Flow Diverter Implantation and Carotid Stenting

Affiliations
  • 1Department of Neurosurgery, Advocate Health Care, Normal, IL, USA. michael.young2@advocatehealth.com
  • 2Department of Neurointerventional Radiology, Advocate Health Care, Normal, IL, USA.

Abstract

A 74-year-old male developed cervical carotid artery psuedoaneurysm 8 months after carotid endarterectomy. The patient was successfully managed with dual implantation of flow-diverter and conventional carotid stent. Flow-diverter was placed across the neck of pseudoaneurysm to provide flow diversion while carotid stent was implanted within the lumen of the expanded flow-diverter to approximate and hold the flow diverter proximal and distal to the pseudoaneurysm. Follow-up ultrasonography revealed complete resolution of the pseudoaneurysm.

Keyword

Carotid endarterectomy; Flow diverter; Postsurgical pseudoaneurysm

MeSH Terms

Aged
Aneurysm, False*
Carotid Arteries
Carotid Artery, Common*
Endarterectomy*
Endarterectomy, Carotid
Follow-Up Studies
Humans
Male
Neck
Stents*
Ultrasonography

Reference

1. Branch CL Jr, Davis CH Jr. False aneurysm complicating carotid endarterectomy. Neurosurgery. 1986; 19:421–425. PMID: 3762890.
Article
2. Abdelhamid MF, Wall ML, Vohara RK. Carotid artery pseudoaneurysm after carotid endarterectomy: case series and a review of the literature. Vasc Endovascular Surg. 2009; 43:571–571. PMID: 19640914.
Article
3. Hertzer NR. Extracranial carotid aneurysms: a new look at an old problem. J Vasc Surg. 2000; 31:823–825. PMID: 10753296.
Article
4. Varetto G, Gianfranco C, Quaglino S, Garneri P, Benintende E, Gibello L, et al. Successful management with 2 overlapping bare stents for post-carotid endarterectomy carotid pseudoaneurysm secondary to carotid shunt. Ann Vasc Surg. 2015; 29:594.e1–594.e4.
Article
5. Troutman DA, Mohan CR, Samhouri FA, Sohn RL. Endovascular repair of carotid artery pseudoaneurysm after carotid endarterectomy with self-expanding covered stents - a long-term follow-up. Ann Vasc Surg. 2010; 24:954.e13–954.e16.
6. Holder R, Hilton D, Martin J, Harris PL, Rowlands PC, McWilliams RG. Percutaneous thrombin injection of carotid artery pseudoaneurysm. J Endovasc Ther. 2002; 9:25–28. PMID: 11958321.
Article
7. Benndorf G, Campi A, Schneider GH, Wellnhofer E, Unterberg A. Overlapping stents for treatment of a dissecting carotid artery aneurysm. J Endovasc Ther. 2001; 8:566–570. PMID: 11797969.
Article
8. Nelson PK, Lylyk P, Szikora I, Wetzel SG, Wanke I, Fiorella D. The pipeline embolization device for the intracranial treatment of aneurysms trial. AJNR Am J Neuroradiol. 2011; 32:34–40. PMID: 21148256.
Article
9. Amenta PS, Starke RM, Jabbour PM, Tjoumakaris SI, Gonzalez LF, Rosenwasser RH, et al. Successful treatment of a traumatic carotid pseudoaneurysm with the Pipeline stent: Case report and review of the literature. Surg Neurol Int. 2012; 3:160. PMID: 23372976.
Article
10. Fiorella D, Lylyk P, Szikora I, Kelly ME, Albuquerque FC, McDougall CG, et al. Curative cerebrovascular reconstruction with the Pipeline embolization device: the emergence of definitive endovascular therapy for intracranial aneurysms. J Neurointerv Surg. 2009; 1:56–65. PMID: 21994109.
Article
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