title: Endovascular Treatment of 2 Synchronous Extracranial Carotid Artery Aneurysms Using Stent-Assisted Coil Embolization and Double Bare-Metal Stenting.
abstract: Extracranial carotid artery aneurysms located in the cervical region in close proximity to the skull are difficult to access using open surgical methods. Endovascular treatment has emerged as an alternative option for anatomically challenging internal carotid artery aneurysms. However, data comparing various endovascular techniques including stent grafting, coil embolization, double stenting, and stent-assisted coil embolization are lacking, making it difficult to determine the optimal treatment. We present a case of a patient with 2 fusiform extracranial carotid artery aneurysms treated successfully with a combination of double stenting and stent-assisted coil embolization. We also discuss technical considerations for selecting the appropriate endovascular intervention.
authors.affiliation: Division of Vascular Surgery, Department of Surgery, Icahn School of Medicine at Mount Sinai, Vascular Surgery, New York, NY, USA danhan820@gmail.com.
authors.forename: Daniel K
authors.initials: DK
authors.lastname: Han
authors.affiliation: Division of Vascular Surgery, Department of Surgery, Icahn School of Medicine at Mount Sinai, Vascular Surgery, New York, NY, USA.
authors.forename: Rami O
authors.initials: RO
authors.lastname: Tadros
authors.affiliation: Division of Vascular Surgery, Department of Surgery, Icahn School of Medicine at Mount Sinai, Vascular Surgery, New York, NY, USA.
authors.forename: Christine
authors.initials: C
authors.lastname: Chung
authors.affiliation: Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, Vascular Surgery, New York, NY, USA.
authors.forename: Aman
authors.initials: A
authors.lastname: Patel
authors.affiliation: Division of Vascular Surgery, Department of Surgery, Icahn School of Medicine at Mount Sinai, Vascular Surgery, New York, NY, USA.
authors.forename: Michael L
authors.initials: ML
authors.lastname: Marin
authors.affiliation: Division of Vascular Surgery, Department of Surgery, Icahn School of Medicine at Mount Sinai, Vascular Surgery, New York, NY, USA.
authors.forename: Peter L
authors.initials: PL
authors.lastname: Faries
mesh_terms: D000368:Aged; D000783:Aneurysm / Q000000981:diagnostic imaging / Q000628:therapy*; D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D000072226:Computed Tomography Angiography; D004621:Embolization, Therapeutic; D057510:Endovascular Procedures / Q000295:instrumentation*; D006801:Humans; D008297:Male; D008670:Metals; D011474:Prosthesis Design; D015607:Stents; D016896:Treatment Outcome
chemical_list: D008670:Metals
keywords: carotid aneurysm; carotid stenting; endovascular