Onur Ergun, Pinar Celtikci, Murat Canyigit, Erdem Birgi, Mete Hidiroglu, Baki Hekimoglu
Department of Radiology, Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey
Pol J Radiol 2014; 79:333-336
Extracranial carotid artery pseudoaneurysms are rare cases resulting from trauma, mycotic infection, head and neck carcinomas or complications related to their treatment. Trauma is the most common cause of carotid artery pseudoaneurysms. They can also present after surgery, most commonly following endarterectomy, which is a rare cause with an estimated incidence of 0.3–0.6%.
Case Report: A 26-year-old male patient was admitted with swelling in his left neck after left carotid endarterectomy. Angiography confirmed pseudoaneursym in the left carotid bulb and it was treated successfully with two heparin-bonded covered stent grafts.
Conclusions: Endovascular treatment of carotid pseudoaneurysms with covered stent-grafts is a safe and efficient method providing definitive arterial reconstruction. But series with longer follow-up periods are needed to evaluate patient compatibility to lifelong antiplatelet theraphy.
Keywords: Carotid Artery Injuries, drug-eluting stents, endovascular procedures