Endovascular treatment of traumatic carotid pseudoaneurysm with stenting and coil embolization.
Posttraumatic internal carotid pseudoaneurysm is an infrequent but potentially life-threatening condition that complicates approximately one-third of blunt carotid injuries. Other types of injuries include dissection, thrombosis, and complete disruption. Historically, carotid pseudoaneurysms have been managed operatively with repair, ligation, and anticoagulation, with percutaneous angioplasty and stenting emerging over the past decade. We present the case of a 19-year-old patient with a posttraumatic internal carotid pseudoaneurysm that increased in size with conservative management and was treated with coil embolization and stenting.
Chaer
Rabih A
RA
Division of Vascular Surgery, New York Presbyterian Hospital, Cornell University, Weill Medical School and Columbia University, College of Physicians and Surgeons, New York, NY 10032, USA.
Derubertis
Brian
B
Kent
K Craig
KC
McKinsey
James F
JF
D000328:Adult; D020212:Carotid Artery Injuries / Q000000981:diagnostic imaging / Q000628:therapy*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D015607:Stents; D014057:Tomography, X-Ray Computed