title: Endovascular repair for an extracranial internal carotid aneurysm with cervical access: A case report.
abstract: BACKGROUND
  Carotid aneurysms are a rare pathology. This vascular disorder can be asymptomatic or it can cause local compression. The disorder poses a high risk of embolization and rupture.
  
  
  METHODS
  A 79 years old female, presents with a right internal carotid fusiform aneurysm, approximately 3.8cm in diameter, localized 3.30cm from the common carotid artery bifurcation with an extremely tortuous common carotid artery.
  
  
  CONCLUSIONS
  Surgical management of the extracranial internal carotid artery remains varying and challenging, particularly with a distal internal carotid aneurysm and with anatomical difficulties.
  
  
  CONCLUSIONS
  Endovascular management of an internal carotid aneurysm with cervical access using an expanded polytetrafluoroethylene covered stent with Heparin Bioactive Surface in the carotid area, is safe and effective.
authors.affiliation: Division of Vascular Surgery, Rafael Ángel Calderón Guardia Hospital, Caja Costarricense del Seguro Social, San José, Costa Rica. Electronic address: riveraignacio@gmail.com.
authors.forename: Ignacio J
authors.initials: IJ
authors.lastname: Rivera-Chavarría
authors.affiliation: Division of Vascular Surgery, Rafael Ángel Calderón Guardia Hospital, Caja Costarricense del Seguro Social, San José, Costa Rica.
authors.forename: Juan C
authors.initials: JC
authors.lastname: Alvarado-Marín
keywords: Carotid aneurysm; Cervical access; Endovascular therapy; Stentgraft