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Pseudoaneurysm of the Internal Carotid Artery: Treatment with a Covered Stent

Journal Article · · Cardiovascular and Interventional Radiology
 [1];  [2];  [3];  [4];  [2];  [1]
  1. Department of Cardiovascular Surgery, University Hospital of Mont-Godinne, B-5530 Yvoir (Belgium)
  2. Department of Radiology, University Hospital of Mont-Godinne, B-5530 Yvoir (Belgium)
  3. Department of Neurology, University Hospital of Mont-Godinne, B-5530 Yvoir (Belgium)
  4. Department of Radiology, St. Luc Hospital, B-5004 Bouge (Belgium)
+ Show Author Affiliations
Dissection of the cervical segment of the internal carotid artery may occur spontaneously or after trauma. We report the management of a 53-year-old right-handed man with progressive dizziness and neck pain 6 weeks after a motor vehicle collision. The clinical and neurologic examinations were normal. The CT scan led to the diagnosis of a pseudoaneurysm of the right internal carotid artery near the skull base. We successfully treated this post-traumatic lesion with a covered stent. The patient underwent the endovascular procedure under general anesthesia and transcranial Doppler monitoring. No neurologic event was observed. Obliteration of the pseudoaneurysm with preservation of the carotid artery was achieved. The patient was discharged from the hospital 72 hr later with no complications. Clinical and imaging follow-up at 6 months was unremarkable.
OSTI ID:
21083514
Journal Information:
Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 4 Vol. 24; ISSN 0174-1551; ISSN CAIRDG
Country of Publication:
United States
Language:
English

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Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
ANESTHESIA
CAROTID ARTERIES
COMPUTERIZED TOMOGRAPHY
DIAGNOSIS
HOSPITALS
IMAGE PROCESSING
INJURIES
NECK
PAIN
PATIENTS
SKULL
VASCULAR DISEASES