In gratitude of the loyal support of our members, the CNS is offering complimentary 2021 Annual Meeting registration to all members! Learn more.

  • ENDOVASCULAR TREATMENT OF EXTRACRANIAL CAROTID ANEURYSMS: CASE SERIES AND LITERATURE REVIEW

    Final Number:
    232

    Authors:
    Saul F Morales-Valero MD; M. Yashar S. Kalani MD, PhD; Felipe Albuquerque MD; Ali R. Zomorodi MD; L. Fernando Gonzalez MD

    Study Design:
    Other

    Subject Category:
    Aneurysm/Subarachnoid Hemorrhage

    Meeting: AANS/CNS Cerebrovascular Section 2015 Annual Meeting

    Introduction: Aneurysms of the extracranial carotid artery are rare. Usually present after a stroke or TIA or as a sequel of a dissection. Various treatment strategies have been described including surgical repair, conservative management and endovascular treatment. However, due to the limited data available, the best option is yet to be established.

    Methods: Retrospective review of a prospectively maintained database, from 2009- 2014. Collected data included patient demographic characteristics, treatment details, complications and outcome.

    Results: Six patients with extracranial carotid aneurysms undergoing endovascular treatment were identified (Table 1). All pseudoaneurysms were associated with carotid dissection or recanalization of a previous occlusion. All patients were treated using standalone stenting. Three patients had laser cut stents, 2 had a braided design and 1 had a covered stent. One intraprocedural complication occurred, involving stent migration into a large aneurysmal sac, rescued with a longer “anchoring” stent, without consequences. The mean follow-up period was 12 months. At last follow-up, no recurrences or clinical complications were found.

    Conclusions: Standalone treatment with endovascular stenting of extracranial carotid pseudoaneurysms constitutes a safe and effective measure. This treatment strategy compares favorably to surgical repair given its less invasive nature and excellent patient outcomes.

    Patient Care: Recognize the benefits of standalone stenting as treatment alternative for carotid pseudoaneurysms. Although a small series, no difference between laser cut and braided stent design was found Complete aneurysm occlusion was obtained in all patients.

    Learning Objectives: By the conclusion of this session, participants should be able to: Recognize that carotid pseudoaneurysms can develop after carotid dissection and can be treated successfully by standalone stenting.

    References:

We use cookies to improve the performance of our site, to analyze the traffic to our site, and to personalize your experience of the site. You can control cookies through your browser settings. Please find more information on the cookies used on our site. Privacy Policy