title: Stent Graft-in-Stent Graft as a Rescue Technique for Endovascular Treatment of Giant Extracranial Internal Carotid Aneurysm.
abstract: Endovascular treatment of a giant extracranial internal carotid aneurysm by a stent graft implantation was unsuccessful due to a high flow leak directly through the stent graft's coating. The problem was solved deploying a second stent graft inside the previously implanted one resulting in complete exclusion of the aneurysmal sac and patent carotid lumen preservation. The review of the literature did not provide a case using this endovascular strategy. Follow-up for more than 12 months, using CT angiography, showed confirmed aneurysmal exclusion and carotid patency and no clinical complications have been detected.
authors.affiliation: Brazilian Society of Angiology and Vascular Surgery (SBACV), Belém, PA, Brazil; Federal University of Pará (UFPA), Belém, PA, Brazil; University Center of Pará State (CESUPA), Belém, PA, Brazil.
authors.forename: Adenauer Marinho de Oliveira
authors.identifier: 0000-0001-9345-9539
authors.initials: AM
authors.lastname: Góes Junior
authors.affiliation: Brazilian Society of Angiology and Vascular Surgery (SBACV), Belém, PA, Brazil; Federal University of Pará (UFPA), Belém, PA, Brazil.
authors.forename: Salim Abdon Haber
authors.initials: SA
authors.lastname: Jeha