Simultaneous Endovascular Treatment of Tandem Internal Carotid Lesions: Case Report and Review of Literature.
The incidence of concomitant extracranial carotid artery stenosis and ipsilateral intracranial carotid aneurysm has been reported to vary between 2.8% and 5%. These complex lesions may present a challenge for treatment decision-making. This case report describes an asymptomatic male patient with severe carotid bifurcation stenosis, coupled with an unruptured supraclinoid internal carotid aneurysm. Both lesions were treated simultaneously. Patient underwent carotid stenting followed by aneurysm coiling in the same setting without any complication.
Clinic for Vascular and Endovascular Surgery, Clinical Centre of Serbia, Belgrade, Serbia drvladimircvetic@gmail.com.
Vladimir
V
Cvetic
Clinic for Vascular and Endovascular Surgery, Clinical Centre of Serbia, Belgrade, Serbia School of Medicine, University of Belgrade, Serbia.
Marko
M
Dragas
Clinic for Vascular and Endovascular Surgery, Clinical Centre of Serbia, Belgrade, Serbia.
Momcilo
M
Colic
Clinic of Neurosurgery, Clinical Centre of Serbia, Belgrade, Serbia.
Ivan
I
Vukasinovic
Clinic for Vascular and Endovascular Surgery, Clinical Centre of Serbia, Belgrade, Serbia.
Oliver
O
Radmili
Clinic for Vascular and Endovascular Surgery, Clinical Centre of Serbia, Belgrade, Serbia School of Medicine, University of Belgrade, Serbia.
Nikola
N
Ilic
Clinic for Vascular and Endovascular Surgery, Clinical Centre of Serbia, Belgrade, Serbia School of Medicine, University of Belgrade, Serbia.
Igor
I
Koncar
School of Medicine, University of Belgrade, Serbia Clinic of Neurosurgery, Clinical Centre of Serbia, Belgrade, Serbia.
Vladimir
V
Bascarevic
Clinic for Vascular and Endovascular Surgery, Clinical Centre of Serbia, Belgrade, Serbia.
Natasa
N
Ristanovic
Clinic for Vascular and Endovascular Surgery, Clinical Centre of Serbia, Belgrade, Serbia School of Medicine, University of Belgrade, Serbia.
Lazar
L
Davidovic
D000368:Aged; D000783:Aneurysm / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D015901:Angiography, Digital Subtraction; D058070:Asymptomatic Diseases; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging; D016893:Carotid Stenosis / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D000072226:Computed Tomography Angiography; D004621:Embolization, Therapeutic; D057510:Endovascular Procedures / Q000295:instrumentation; D006801:Humans; D008297:Male; D012720:Severity of Illness Index; D015607:Stents; D016896:Treatment Outcome
aneurysm; carotid artery; coiling; stenosis; stenting