Melo-Guzmán G, Escobar-de la Garma VH, Pérez-Morales OA, Padilla-Vázquez F, del Bosque Méndez J, Mendizábal-Guerra R

Language: Spanish
References: 15
Page: 96-103
PDF size: 342.59 Kb.

ABSTRACT

Introduction. Cervical internal carotid pseudoaneurysms are vascular lesions with high morbidity due to embolism and rupture. Surgery of these lesions is technically difficult, with low success rates. Nowadays, endovascular therapy has allowed favorable results with the use of covered-stents allowing vessel reconstruction.
Case report. A 45-year male with a past history of right blunt cervical trauma three years ago was admitted for study of a pulsatile right cervical mass. He reported headache 6 months before admission and progressive dysphagia with a protruding non-painful pulsatile mass in the right cervical region, causing dysphonia. A contrastenhanced cervical computed tomography scan and the angiogram revealed a giant pseudoaneurysmal lesion in the cervical segment of the right internal carotid artery. The first endovascular procedure in which “stent in stent” technique was performed achieved 70% embolization of the aneurysm one year later. New angioplasty with a covered stent inside the previous ones achieved 90% embolization of the pseudoaneurysm. Eleven months later a new angiogram revealed definite embolization of the aneurysm.
Conclusion. The use of stents may be now a feasible and safe way of treating selected cases of giant pseudoaneurysms of the cervical internal carotid artery.

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