Endovascular treatment for bilateral mycotic intracavernous carotid aneurysms. Case report and review of the literature.
Bilateral mycotic aneurysms of the intracavernous segment of the internal carotid artery (ICA) are exceedingly rare. The authors present the case of a 46-year-old man with bilateral mycotic intracavernous carotid aneurysms, which were treated with a stent-assisted vessel wall remodeling technique with preservation of the parent arteries. The patient recovered quite satisfactorily after completing the whole course of treatment. Based on an extensive review of the literature, no reported case of bilateral mycotic aneurysm of the intracavernous segment of the ICA has been treated with this mode of endovascular therapy. This mode of treatment could be a therapeutic alternative for intracavernous mycotic aneurysms.
Yen
Pao Sheng
PS
Department of Neuroradiology, Buddhist Tzu Chi General Hospital, Buddhist Tzu Chi University, Hualien, Taiwan, Republic of China.
Teo
Beng Tiong
BT
Chen
Shang Chi
SC
Chiu
Tsung Lang
TL
D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000601:surgery*; D017130:Angioplasty; D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000601:surgery; D007839:Functional Laterality; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011859:Radiography; D015607:Stents