Stent-graft treatment of traumatic carotid artery dissecting pseudoaneurysm.
BACKGROUND
Traumatic pseudoaneurysm of the internal carotid artery (ICA) is a rare but serious complication following blunt or penetrating trauma. These lesions are difficult to repair surgically. Endovascular management, including parent vessel occlusion, bare stent placement, and stent-assisted coil placement, are reported to be safe and effective but have certain disadvantages. Placement of covered stent grafts has been recently reported but without enough follow-up results to achieve consensus.


METHODS
In this investigation, we present our experience with seven cases of traumatic ICA dissecting pseudoaneurysm treated with stent graft with follow-up between 1 and 33 months.


RESULTS
Among the seven patients, one patient died due to septic shock 7 days after stenting. Follow-up angiography or Doppler ultrasound of the other six patients revealed optimal result with occluded pseudoaneurysm without restenosis of the ICA.


CONCLUSIONS
Our results suggest that placement of stent grafts is a safe and effective method for treating ICA traumatic-dissecting pseudoaneurysm.
Tsai
Yuan-Hsiung
YH
Department of Diagnostic Radiology, Chang Gung Memorial Hospital, Chang Gung University, Chiayi, Taiwan.
Wong
Ho-Fai
HF
Weng
Hsu-Huei
HH
Chen
Yao-Liang
YL
D000328:Adult; D000368:Aged; D001807:Blood Vessel Prosthesis; D020212:Carotid Artery Injuries / Q000175:diagnosis* / Q000601:surgery*; D020215:Carotid Artery, Internal, Dissection / Q000175:diagnosis* / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents; D016896:Treatment Outcome