Endovascular repair of an infected carotid artery pseudoaneurysm.
Pseudoaneurysm formation after carotid endarterectomy is a rare but potentially lethal complication. The risks for embolization and continued expansion necessitate repair. Traditional surgical repair of carotid pseudoaneurysms is often technically demanding, and is associated with relatively high morbidity and mortality. Endovascular stent grafts have been used to treat both posttraumatic and postoperative carotid pseudoaneurysms. An endovascular approach to these pseudoaneurysms limits the risks for operative damage to surrounding structures and the potential for substantial blood loss. We present the case of an infected carotid pseudoaneurysm that was successfully treated with a covered stent graft.
Baril
Donald T
DT
Division of Vascular Surgery, Department of Surgery, Mount Sinai School of Medicine, New York, NY, USA. Donald.Baril@mssm.edu
Ellozy
Sharif H
SH
Carroccio
Alfio
A
Patel
Aman B
AB
Lookstein
Robert A
RA
Marin
Michael L
ML
D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000628:therapy*; D000800:Angioplasty, Balloon / Q000379:methods*; D017536:Carotid Artery, Common; D016893:Carotid Stenosis / Q000000981:diagnostic imaging / Q000601:surgery; D016894:Endarterectomy, Carotid / Q000009:adverse effects* / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D018810:Magnetic Resonance Angiography / Q000379:methods; D011859:Radiography; D018570:Risk Assessment; D012720:Severity of Illness Index; D015607:Stents; D016896:Treatment Outcome