Traumatic carotid artery dissection and pseudoaneurysm treated with endovascular coils and stent.
OBJECTIVE
To report a case of post-traumatic internal carotid artery dissection and pseudoaneurysm formation at the C-1 level successfully treated by a percutaneous endovascular technique.


RESULTS
A 20-year-old female presented 72 hours after a motor vehicle accident with incomplete occulosympathetic paresis (Horner's syndrome), carotidynia, and leftsided 1.5-cm x 2.5-cm pseudoaneurysm at the C-1 level. Neuroradiologists embolized the pseudoaneurysm with Guglielmi detachable coils and controlled the dissection with placement of a Wallstent.


CONCLUSIONS
This report illustrates successful percutaneous endovascular treatment of a carotid dissection and pseudoaneurysm near the base of the skull.
Matsuura
J H
JH
Department of Vascular Surgery, Georgia Baptist Medical Center, Medical College of Georgia, Atlanta, USA.
Rosenthal
D
D
Jerius
H
H
Clark
M D
MD
Owens
D S
DS
D000063:Accidents, Traffic; D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D000792:Angiography; D002339:Carotid Arteries / Q000000981:diagnostic imaging; D020212:Carotid Artery Injuries; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D005260:Female; D006801:Humans; D015607:Stents