title: Endovascular management of tandem extracranial internal carotid artery aneurysms with a covered stent.
abstract: 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.
authors.affiliation: Department of Neurosurgery, University of Münster, Germany. fischeb@mednet.uni-muenster.de
authors.forename: Bernhard
authors.initials: B
authors.lastname: Fischer
authors.forename: Stefan
authors.initials: S
authors.lastname: Palkovic
authors.forename: Hansdetlef
authors.initials: H
authors.lastname: Wassmann
authors.forename: Walter
authors.initials: W
authors.lastname: Heindel
authors.forename: Stefan C
authors.initials: SC
authors.lastname: Krämer
mesh_terms: 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
chemical_list: D020099:Coated Materials, Biocompatible