Use of a Viabahn stent for repair of a common carotid artery pseudoaneurysm and dissection.
Carotid procedures in the previously operated neck are both technically demanding and subject to increased rates of complications. Adding radiation to the operated field only increases these risks. The incidence of cranial nerve injury in the reoperative neck has increased. Similarly, patients with a history of radiation are at increased risk for stroke, cranial nerve injury, and wound complications. Before the endovascular era, the only option for repair of an extracranial carotid aneurysm was open operation. Recently, more experience has been gained using endovascular techniques to repair these aneurysms. We present a patient with a history of radiation and radical neck dissection who developed a pseudoaneurysm of the common carotid artery. This pseudoaneurysm was repaired successfully using a Viabhan covered stent graft.
Baylor Medical Center, Dallas, TX 75226-1305, USA. sgolarz@hotmail.com
Scott R
SR
Golarz
Dennis
D
Gable
D000368:Aged; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000628:therapy*; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000628:therapy*; D017130:Angioplasty / Q000295:instrumentation*; D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D017536:Carotid Artery, Common / Q000000981:diagnostic imaging; D006801:Humans; D007822:Laryngeal Neoplasms / Q000532:radiotherapy / Q000601:surgery; D008297:Male; D037981:Neck Dissection / Q000009:adverse effects; D011474:Prosthesis Design; D011859:Radiography; D011878:Radiotherapy / Q000009:adverse effects; D015607:Stents; D016896:Treatment Outcome