title: Endovascular repair of a left common carotid pseudoaneurysm associated with a jugular-carotid fistula after gunshot wound to the neck.
abstract: The management of traumatic injury of the common carotid artery has traditionally required a conventional surgical intervention, which is associated with a high mortality rate. Endovascular procedures might offer a less invasive alternative to treat these injuries, with a lower rate of mortality and morbidity. We report the case of a 30-year-old man who presented after penetrating injury due to a low-velocity gunshot wound to the neck. Angiography demonstrated a high-flow arteriovenous fistula and large false aneurysm of the common carotid artery. A self-expanding covered stent was placed across the injured portion of the artery, resulting in thrombosis of the aneurysm and preservation of the parent artery, without any significant complication. Covered stent placement is an alternative approach to treating carotid artery pseudoaneurysms associated with a jugular-carotid fistula.
authors.affiliation: Department of Thoracic and Vascular Surgery, Arnaud de Villeneuve Hospital, Montpellier, France. elsafaure@hotmail.com
authors.forename: Elsa
authors.initials: E
authors.lastname: Faure
authors.forename: Ludovic
authors.initials: L
authors.lastname: Canaud
authors.forename: Charles
authors.initials: C
authors.lastname: Marty-Ané
authors.forename: Pierre
authors.initials: P
authors.lastname: Alric
mesh_terms: D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D020212:Carotid Artery Injuries / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D017536:Carotid Artery, Common / Q000000981:diagnostic imaging / Q000601:surgery*; D057510:Endovascular Procedures / Q000295:instrumentation; D006801:Humans; D007601:Jugular Veins / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D008297:Male; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D057772:Vascular System Injuries / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D014948:Wounds, Gunshot / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*