title: Pipeline embolization device as primary treatment for cervical internal carotid artery pseudoaneurysms.
abstract: BACKGROUND
  Limited data exists on the durability and occlusion rate of treating extracranial cervical internal carotid artery pseudoaneurysms using the pipeline embolization device (PED) flow-diverting stent.
  
  
  METHODS
  Three patients presenting with dissecting cervical internal carotid artery pseudoaneurysms were treated with the PED as the sole treatment modality.
  
  
  RESULTS
  In all three patients, successful aneurysmal occlusion and parent vessel reconstruction occurred on immediate angiography and continued on 6-month follow-up. No immediate or delayed complications were seen, and all patients remained neurologically intact.
  
  
  CONCLUSIONS
  Complete aneurysmal occlusion and long-term angiographic occlusion can occur after PED treatment of cervical carotid pseudoaneurysms. In select patients, the PED can be a suitable primary treatment modality with good neurological outcome for cervical carotid pseudoaneurysms.
authors.affiliation: Department of Neurosurgery, New York Medical College, Valhalla, New York, USA.
authors.forename: Arthur
authors.initials: A
authors.lastname: Wang
authors.affiliation: Department of Neurosurgery, New York Medical College, Valhalla, New York, USA; NeuroVascular Institute, Westchester Medical Center, Valhalla, New York, USA.
authors.forename: Justin
authors.initials: J
authors.lastname: Santarelli
authors.affiliation: Capital Institute for Neurosciences, Stroke and Cerebrovascular Center, Capital Health System, Trenton, NJ, USA.
authors.forename: Michael F
authors.initials: MF
authors.lastname: Stiefel
keywords: Cervical carotid; dissection; pipeline embolization device; pseudoaneursym