학술논문
Endovascular Treatment of Posttraumatic Pseudoaneurysm of the Common Carotid Artery.
Document Type
Article
Source
Subject
*FALSE aneurysms
*COMPUTED tomography
*ANGIOGRAPHY
*PLATELET aggregation inhibitors
*BRACHIOCEPHALIC trunk
CAROTID artery abnormalities
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Language
ISSN
2090-6986
Abstract
Carotid artery injuries with pseudoaneurysm are uncommon but associated with central neurologic dysfunction. We present a case of posttraumatic pseudoaneurysm of the right common carotid artery treated by implantation of a covered stent. A 44-year-old woman with multiple injuries after fall from height presents a small dissection flap of the right common carotid artery (RCCA) on the initial computed tomography angiography (CTA). Fifteen days later a 10 mm pseudoaneurysm is observed on control CTA. We decided endovascular treatment. Through right femoral access with a long introducer sheath placed in the innominate artery, we implanted a covered stent Advanta V12 9×38 mm in the RCCA. The patient was discharged from the hospital with antiplatelet therapy without any neurological dysfunction and complete exclusion of the pseudoaneurysm. Use of covered stents has emerged as a safe and effective alternative to surgical repair of carotid injuries. [ABSTRACT FROM AUTHOR]