Endovascular management of tandem extracranial internal carotid artery aneurysms with a covered stent.
OBJECTIVE
To illustrate the endovascular technique for treating tandem arterial aneurysms in the distal carotid artery.


METHODS
A 49-year-old woman presented with progressive swelling of the neck caused by a pulsatile tumor. Angiography demonstrated 2 aneurysms of the extracranial internal carotid artery near the skull base, so surgery was not a therapeutic option. Both aneurysms were successfully excluded with deployment of a single Wallgraft across both lesions; no complications were encountered. At 2-year follow-up, the patient is doing well, without any sign of aneurysm reperfusion.


CONCLUSIONS
The presented case demonstrates that stenting of tandem aneurysms may be performed even in the carotid artery. Nevertheless, this treatment should be considered as a therapeutic option only in selected cases.
Fischer
Bernhard
B
Department of Neurosurgery, University of Münster, Germany. fischeb@mednet.uni-muenster.de
Palkovic
Stefan
S
Wassmann
Hansdetlef
H
Heindel
Walter
W
Krämer
Stefan C
SC
D000783:Aneurysm / Q000000981:diagnostic imaging / Q000628:therapy*; D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging; D002533:Cerebral Angiography; D020099:Coated Materials, Biocompatible; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D011474:Prosthesis Design; D018570:Risk Assessment; D015607:Stents; D016896:Treatment Outcome
D020099:Coated Materials, Biocompatible