Simultaneous Endovascular Treatment of Tandem Internal Carotid Lesions: Case Report and Review of Literature

Vasc Endovascular Surg. 2016 Jul;50(5):359-62. doi: 10.1177/1538574416652246. Epub 2016 Jun 2.


The incidence of concomitant extracranial carotid artery stenosis and ipsilateral intracranial carotid aneurysm has been reported to vary between 2.8% and 5%. These complex lesions may present a challenge for treatment decision-making. This case report describes an asymptomatic male patient with severe carotid bifurcation stenosis, coupled with an unruptured supraclinoid internal carotid aneurysm. Both lesions were treated simultaneously. Patient underwent carotid stenting followed by aneurysm coiling in the same setting without any complication.

Keywords: aneurysm; carotid artery; coiling; stenosis; stenting.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Aneurysm / complications
  • Aneurysm / diagnostic imaging
  • Aneurysm / therapy*
  • Angiography, Digital Subtraction
  • Asymptomatic Diseases
  • Carotid Artery, Internal* / diagnostic imaging
  • Carotid Stenosis / complications
  • Carotid Stenosis / diagnostic imaging
  • Carotid Stenosis / therapy*
  • Computed Tomography Angiography
  • Embolization, Therapeutic
  • Endovascular Procedures* / instrumentation
  • Humans
  • Male
  • Severity of Illness Index
  • Stents
  • Treatment Outcome