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Stent-graft treatment of traumatic carotid artery dissecting pseudoaneurysm |
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| Authors: | Yuan-Hsiung Tsai Ho-Fai Wong Hsu-Huei Weng Yao-Liang Chen |
| Institution: | 1. Department of Diagnostic Radiology, Chang Gung Memorial Hospital, Chang Gung University, Chiayi, Taiwan 3. Department of Biomedical Imaging and Radiological Science, National Yang Ming University, Taipei, Taiwan 2. Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital at Linkou, Chang Gung University, 5 Fuhsing Rd., Kweishan, Linkou, Taoyuan, Taiwan, 33305 |
| Abstract: | IntroductionTraumatic pseudoaneurysm of the internal carotid artery (ICA) is a rare but serious complication following blunt or penetrating trauma. These lesions are difficult to repair surgically. Endovascular management, including parent vessel occlusion, bare stent placement, and stent-assisted coil placement, are reported to be safe and effective but have certain disadvantages. Placement of covered stent grafts has been recently reported but without enough follow-up results to achieve consensus.MethodsIn this investigation, we present our experience with seven cases of traumatic ICA dissecting pseudoaneurysm treated with stent graft with follow-up between 1 and 33 months.ResultsAmong the seven patients, one patient died due to septic shock 7 days after stenting. Follow-up angiography or Doppler ultrasound of the other six patients revealed optimal result with occluded pseudoaneurysm without restenosis of the ICA.ConclusionsOur results suggest that placement of stent grafts is a safe and effective method for treating ICA traumatic-dissecting pseudoaneurysm. |
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