Cavernous carotid artery pseudo-aneurysm treated by stenting in acromegalic patient.
We report on a case of endovascular management of pseudoaneurysm of the cavernous segment of the internal carotid artery with covered stent reconstruction. A 36 years-old woman with a history of previous transsphenoidal approach for pituitary macroadenoma and false aneurysma formation was studied in a protocol that included balloon test occlusion and cerebral blood flow evaluation. An endovascular covered stent deployment in the area of the carotid laceration was performed with isolation of the aneurysm from the circulation and maintenance of the carotid flow. Helical angio-CT and cerebral digital subtraction angiography showed the carotid preservation without stenosis in the stented area. In conclusion, endovascular stent reconstruction for post-transsphenoidal carotid artery laceration and false aneurysm is demonstrated as useful technical adjunct in the management strategy and with the potential for carotid sacrifice morbidity avoidance.
de Souza
Jorge Marcondes
JM
Service of Neurosurgery, Department of Surgery, Hospital Universitário Clementino Fraga Filho, Faculdade de Medicina, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil. jmarcondes@hucff.ufrj.br
Domingues
Flavio S
FS
Espinosa
Gaudencio
G
Gadelha
Monica
M
D000172:Acromegaly; D000236:Adenoma / Q000601:surgery; D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D020212:Carotid Artery Injuries / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000601:surgery*; D002533:Cerebral Angiography; D005260:Female; D006801:Humans; D010911:Pituitary Neoplasms / Q000601:surgery; D011183:Postoperative Complications / Q000601:surgery; D013101:Sphenoid Sinus / Q000601:surgery; D015607:Stents; D015899:Tomography, Emission-Computed, Single-Photon