Traumatic carotid artery dissection and pseudoaneurysm treated with endovascular coils and stent

J Endovasc Surg. 1997 Nov;4(4):339-43. doi: 10.1583/1074-6218(1997)004<0339:TCADAP>2.0.CO;2.

Abstract

Purpose: To report a case of post-traumatic internal carotid artery dissection and pseudoaneurysm formation at the C-1 level successfully treated by a percutaneous endovascular technique.

Methods and results: A 20-year-old female presented 72 hours after a motor vehicle accident with incomplete occulosympathetic paresis (Horner's syndrome), carotidynia, and leftsided 1.5-cm x 2.5-cm pseudoaneurysm at the C-1 level. Neuroradiologists embolized the pseudoaneurysm with Guglielmi detachable coils and controlled the dissection with placement of a Wallstent.

Conclusions: This report illustrates successful percutaneous endovascular treatment of a carotid dissection and pseudoaneurysm near the base of the skull.

Publication types

  • Case Reports

MeSH terms

  • Accidents, Traffic
  • Adult
  • Aneurysm, False / diagnostic imaging
  • Aneurysm, False / etiology
  • Aneurysm, False / therapy*
  • Angiography
  • Carotid Arteries / diagnostic imaging
  • Carotid Artery Injuries*
  • Embolization, Therapeutic / instrumentation*
  • Female
  • Humans
  • Stents*