title: Cervical carotid artery aneurysms and pseudoaneurysms. Treatment by balloon embolization therapy.
abstract: The treatment of high cervical carotid artery aneurysms and pseudoaneurysms is often difficult due to relative surgical inaccessibility. We are currently managing such lesions by detachable balloon embolization therapy. In 7 patients with acute cervical carotid pseudoaneurysms, the carotid artery was occluded by a trapping procedure above and below the lesion using detachable silicone balloons. In 3 patients with aneurysms that had well organized walls, a detachable balloon was placed directly within the aneurysm, inflated to exclude it from the circulation, and then detached. The carotid artery was therefore preserved.
authors.affiliation: Department of Radiology, University of California, San Francisco Medical Center.
authors.forename: R T
authors.initials: RT
authors.lastname: Higashida
authors.forename: G B
authors.initials: GB
authors.lastname: Hieshima
authors.forename: V V
authors.initials: VV
authors.lastname: Halbach
authors.forename: K
authors.initials: K
authors.lastname: Goto
mesh_terms: D000328:Adult; D000368:Aged; D000783:Aneurysm / Q000000981:diagnostic imaging / Q000628:therapy*; D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography