Endovascular treatment of a giant intracranial aneurysm with a stent-graft.
This report describes a giant intracavernous carotid aneurysm successfully treated by the placement of a single covered stent. A 40-year-old woman was admitted with a progressive diplopia in relation with palsy of the IV and VI cranial nerves. Magnetic resonance imaging revealed an intracavernous giant aneurysm located at the bifurcation between the origin of a trigeminal artery and the intracavernous portion of the right internal carotid artery. A covered stent was successfully placed, and complete exclusion of the aneurysm was confirmed at 11-month follow-up angiography. The use of covered stents in intracranial vascular structures can now be a feasible way of treating selected cases of wide-necked intracranial aneurysms.
Department of Vascular and Interventional Radiology, Interventional Neuroradiology, C.D.I., Hospital Clínic i Provincial de Barcelona, c/Villarroel 170, 08036 Barcelona, Spain. 30018jba@comb.es
Jordi
J
Blasco
Juan M
JM
Macho
Marta
M
Burrel
Maria I
MI
Real
Maria
M
Romero
Xavier
X
Montañá
D000328:Adult; D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging / Q000628:therapy; D002426:Cavernous Sinus / Q000473:pathology; D002533:Cerebral Angiography; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000628:therapy*; D018810:Magnetic Resonance Angiography; D015607:Stents