Traumatic internal carotid artery injury treated with overlapping bare metal stents under intravascular ultrasound guidance.
We report a case of traumatic internal carotid artery pseudoaneurysm near the skull base that was successfully treated with anticoagulation and antiplatelet therapy and two overlapping bare stents placed under intravascular ultrasound guidance. Although incomplete exclusion of the pseudoaneurysm was seen on completion angiography, follow-up computed tomography angiography revealed complete resolution of the treated lesion. The patient remains asymptomatic at the 18-month clinical follow-up. This case report illustrates a successful endovascular treatment of a complex traumatic pseudoaneurysm with bare metal stenting using intravascular ultrasound guidance.
Stager
Victoria
V
Department of Surgery, John Peter Smith Hospital, Fort Worth, Tex, USA.
Gandhi
Rajesh
R
Stroman
David
D
Timaran
Carlos
C
Broker
Harshal
H
D000063:Accidents, Traffic; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D000925:Anticoagulants / Q000627:therapeutic use; D020212:Carotid Artery Injuries / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging*; D057510:Endovascular Procedures / Q000295:instrumentation*; D005260:Female; D006801:Humans; D008670:Metals; D008875:Middle Aged; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D011474:Prosthesis Design; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional; D057772:Vascular System Injuries / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*
D000925:Anticoagulants; D008670:Metals; D010975:Platelet Aggregation Inhibitors