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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
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