Endovascular Treatment Using Graft-Stent for Pseudoaneurysm of the Cavernous Internal Carotid Artery |
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| Authors: | Jun Kyeung Ko Tae Hong Lee Jae Il Lee Chang Hwa Choi |
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| Affiliation: | 1Department of Neurosurgery, School of Medicine, Pusan National University, Busan, Korea.;2Department of Diagnostic Radiology, School of Medicine, Pusan National University, Busan, Korea. |
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| Abstract: | A 57-year-old man presented with a 2-day history of left oculomotor palsy. Digital subtraction angiography revealed a pseudoaneurysm of the left cavernous internal carotid artery (ICA) measuring 37×32 mm. The pseudoaneurysm was treated with a balloon expandable graft-stent to occlude the aneurysmal neck and preserve the parent artery. A post-procedure angiogram confirmed normal patency of the ICA and complete sealing of the aneurysmal neck with no opacification of the sac. After the procedure, the oculomotor palsy improved gradually, and had completely resolved 3 months after the procedure. A graft-stent can be an effective treatment for a pseudoaneurysm of the cavernous ICA with preservation of the parent artery. |
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| Keywords: | Internal carotid artery Pseudoaneurysm Graft-stent Oculomotor palsy |
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