Neurosurg Focus (Suppl) 37:Video 12, 2014
Endovascular reconstruction of enlarging traumatic internal carotid artery pseudoaneurysm Omar Choudhri, M.D., Jeremy Heit, M.D., Ph.D., and Huy M. Do, M.D. Department of Neurosurgery & Interventional Neuroradiology, Stanford University Medical Centre, Stanford, California Traumatic dissecting pseudoaneurysms of the cervical and petrous internal carotid artery are often a result of blunt or penetrating trauma. These patients are at high risk for thromboembolic complications and are managed with antiplatelet agents. Patients who develop neurologic symptoms while on antiplatelet agents, or have interval enlargement of their pseudoaneurysms, may require repair of the vessel. We describe a case in which we performed an endovascular repair of an enlarging distal cervical internal carotid artery pseudoaneurysm, with placement of a covered stent. The video can be found here: http://youtu.be/uCypcsBvOZ4. (http://thejns.org/doi/abs/10.3171/2014.V2.FOCUS14185)
Key Words • trauma • dissecting aneurym • pseudoaneurysm • covered stent • video
Manuscript submitted May 2, 2014. Accepted June 2, 2014. Please include this information when citing this paper: DOI: 10.3171/2014.V2.FOCUS14185. Address correspondence to: Omar Choudhri, M.D., Department of Neurosurgery, Stanford University School of Medicine, 300 Pasteur Drive MC5327, Stanford, California. email: ochoudhri@stanford. edu.
Neurosurg Focus / Volume 37 / July 2014
1
Endovascular reconstruction of enlarging traumatic internal carotid artery pseudoaneurysm Omar Choudhri, M.D., Jeremy Heit, M.D., Ph.D., and Huy M. Do, M.D. Department of Neurosurgery & Interventional Neuroradiology, Stanford University Medical Centre, Stanford, California Traumatic dissecting pseudoaneurysms of the cervical and petrous internal carotid artery are often a result of blunt or penetrating trauma. These patients are at high risk for thromboembolic complications and are managed with antiplatelet agents. Patients who develop neurologic symptoms while on antiplatelet agents, or have interval enlargement of their pseudoaneurysms, may require repair of the vessel. We describe a case in which we performed an endovascular repair of an enlarging distal cervical internal carotid artery pseudoaneurysm, with placement of a covered stent. The video can be found here: http://youtu.be/uCypcsBvOZ4. (http://thejns.org/doi/abs/10.3171/2014.V2.FOCUS14185)
Key Words • trauma • dissecting aneurym • pseudoaneurysm • covered stent • video
Manuscript submitted May 2, 2014. Accepted June 2, 2014. Please include this information when citing this paper: DOI: 10.3171/2014.V2.FOCUS14185. Address correspondence to: Omar Choudhri, M.D., Department of Neurosurgery, Stanford University School of Medicine, 300 Pasteur Drive MC5327, Stanford, California. email: ochoudhri@stanford. edu.
Neurosurg Focus / Volume 37 / July 2014
1
