title: Stent-graft treatment of traumatic carotid artery dissecting pseudoaneurysm.
abstract: 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.
authors.affiliation: Department of Diagnostic Radiology, Chang Gung Memorial Hospital, Chang Gung University, Chiayi, Taiwan.
authors.forename: Yuan-Hsiung
authors.initials: YH
authors.lastname: Tsai
authors.forename: Ho-Fai
authors.initials: HF
authors.lastname: Wong
authors.forename: Hsu-Huei
authors.initials: HH
authors.lastname: Weng
authors.forename: Yao-Liang
authors.initials: YL
authors.lastname: Chen
mesh_terms: 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