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Endovascular Management of Tandem Extracranial Internal Carotid Artery Aneurysms With a Covered Stent

2004; SAGE Publishing; Volume: 11; Issue: 6 Linguagem: Inglês

10.1583/04-1293r.1

1545-1550

Bernhard Fischer, S Palković, H. Wassmann, Walter Heindel, Stefan C. Krämer,

Meningioma and schwannoma management

To illustrate the endovascular technique for treating tandem arterial aneurysms in the distal carotid artery.A 49-year-old woman presented with progressive swelling of the neck caused by a pulsatile tumor. Angiography demonstrated 2 aneurysms of the extracranial internal carotid artery near the skull base, so surgery was not a therapeutic option. Both aneurysms were successfully excluded with deployment of a single Wallgraft across both lesions; no complications were encountered. At 2-year follow-up, the patient is doing well, without any sign of aneurysm reperfusion.The presented case demonstrates that stenting of tandem aneurysms may be performed even in the carotid artery. Nevertheless, this treatment should be considered as a therapeutic option only in selected cases.