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Neuroradiology

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01.11.2010 | Interventional Neuroradiology

Stent-graft treatment of traumatic carotid artery dissecting pseudoaneurysm

verfasst von: Yuan-Hsiung Tsai, Ho-Fai Wong, Hsu-Huei Weng, Yao-Liang Chen

Erschienen in: Neuroradiology | Ausgabe 11/2010

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Abstract

Introduction

Traumatic pseudoaneurysm of the internal carotid artery (ICA) is a rare but serious complication following blunt or penetrating trauma. These lesions are difficult to repair surgically. Endovascular management, including parent vessel occlusion, bare stent placement, and stent-assisted coil placement, are reported to be safe and effective but have certain disadvantages. Placement of covered stent grafts has been recently reported but without enough follow-up results to achieve consensus.

Methods

In this investigation, we present our experience with seven cases of traumatic ICA dissecting pseudoaneurysm treated with stent graft with follow-up between 1 and 33 months.

Results

Among the seven patients, one patient died due to septic shock 7 days after stenting. Follow-up angiography or Doppler ultrasound of the other six patients revealed optimal result with occluded pseudoaneurysm without restenosis of the ICA.

Conclusions

Our results suggest that placement of stent grafts is a safe and effective method for treating ICA traumatic-dissecting pseudoaneurysm.

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Titel: Stent-graft treatment of traumatic carotid artery dissecting pseudoaneurysm
verfasst von: Yuan-Hsiung Tsai
Ho-Fai Wong
Hsu-Huei Weng
Yao-Liang Chen
Publikationsdatum: 01.11.2010
Verlag: Springer-Verlag
Erschienen in: Neuroradiology / Ausgabe 11/2010
Print ISSN: 0028-3940
Elektronische ISSN: 1432-1920
DOI: https://doi.org/10.1007/s00234-009-0651-3

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Abstract

Introduction

Methods

Results

Conclusions

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