Key result
Deployment of 2 Jostent coronary stent-grafts successfully treated a spontaneous internal carotid artery dissection with pseudoaneurysm, with no residual pseudoaneurysm or endoleak at 9 months.
Why the study?
Does the use of covered coronary stents successfully treat spontaneous internal carotid artery dissection with pseudoaneurysm?
Case Report (n=1)
No
Does the use of covered coronary stents successfully treat spontaneous internal carotid artery dissection with pseudoaneurysm?
Covered coronary stents may be a viable endovascular treatment option for spontaneous internal carotid artery dissection complicated by pseudoaneurysm.
Answers are grounded in this paper and cite their sources.
May support covered stents as an endovascular option in carotid dissection pseudoaneurysm; hypothesis-generating and requires prospective validation.
PURPOSE: To report the use of a coronary stent-graft for the endovascular treatment of a spontaneous internal carotid artery (ICA) dissection complicated by a large pseudoaneurysm. CASE REPORT: A 68-year-old man presented to an outside hospital with complaints of headache, severe left-sided neck pain, fever, chills, and vomiting. Contrast-enhanced computed tomography revealed a large (3.5x3 cm) extracranial aneurysm of the left ICA. The patient was emergently transferred to our facility for endovascular treatment of the carotid aneurysm. Via a percutaneous access in the right common femoral artery, 2 Jostent coronary stent-grafts were deployed across the aneurysm with no evidence of a residual pseudoaneurysm. The patient was hemodynamically stable throughout the procedure. Duplex examination at 9 months revealed no evidence of a residual pseudoaneurysm, dissection, or endoleak. CONCLUSIONS: Covered coronary stents may have a role in the treatment of spontaneous ICA dissection with pseudoaneurysm formation.
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Tseng et al. (2003) conducted a case report in Spontaneous internal carotid artery (ICA) dissection complicated by a large pseudoaneurysm (n=1). Jostent coronary stent-grafts was evaluated on Residual pseudoaneurysm, dissection, or endoleak. Deployment of 2 Jostent coronary stent-grafts successfully treated a spontaneous internal carotid artery dissection with pseudoaneurysm, with no residual pseudoaneurysm or endoleak at 9 months.
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