Endovascular treatment of the extracranial carotid pseudoaneurysms resulting from stab penetrating injury using overlapping bare stents.
Injury pertaining to the common carotid artery may result in complete or partial arterial transection, pseudoaneurysms, or arteriovenous connections. Endovascular treatment option of the pseudoaneurysm has already been established with favorable success rate and minimal morbidity. Our purpose is to report one 18-year-old male patient having 2 traumatic pseudoaneurysms as a result of penetrating stab injury in the extracranial common carotid. The patient was successfully treated using 2 overlapping bare-metal stents. The 2 common carotid pseudoaneurysms had different degree inflow angles defined as the space between the lines indicating the direction of blood flow from the parent artery and through the aneurysmal neck to the dome. Computed tomography angiography was utilized to follow the evolution of the pseudoaneurysms until total occlusion was demonstrated. The treatment modality used in this report represents an alternative approach of the endovascular treatment for the extracranial carotid pseudoaneurysm.
Department of Neurological Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, People's Republic of China.
Yao-hua
YH
Pan
Yong
Y
Lin
Sheng-hao
SH
Ding
Lei
L
Chen
Yu-ming
YM
Liang
Yu-hua
YH
Yin
Ying-hui
YH
Bao
Guo-Yi
GY
Gao
Yong-ming
YM
Qiu
Ji-yao
JY
Jiang
D000293:Adolescent; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D000792:Angiography; D020212:Carotid Artery Injuries / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D017536:Carotid Artery, Common / Q000000981:diagnostic imaging; D057510:Endovascular Procedures; D006801:Humans; D008297:Male; D015607:Stents; D014057:Tomography, X-Ray Computed; D014951:Wounds, Stab / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*
common carotid artery; endovascular treatment; inflow angle; stent; traumatic pseudoaneurysm