Telescoping Dual Covered Stent Graft Construct for Endovascular Treatment of a Giant Extracranial Carotid Artery Pseudoaneurysm
Large pseudoaneurysms which compress the parent vessel are challenging lesions to successfully treat with endovascular therapy. We describe the endovascular treatment of a giant extracranial carotid artery (ECCA) pseudoaneurysm resulting in substantial mass effect on the common carotid artery (CCA)...
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2016-12-01
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Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/0976-3147.196441 |
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doaj-dde4274709cc44e4bac1f01d050434a22021-04-02T13:44:56ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Neurosciences in Rural Practice0976-31470976-31552016-12-0107S103S10510.4103/0976-3147.196441Telescoping Dual Covered Stent Graft Construct for Endovascular Treatment of a Giant Extracranial Carotid Artery PseudoaneurysmDale Ding0Robert M. Starke1Maurice Moriarty2Stefan Brew3Department of Neurosurgery, University of Virginia, Charlottesville, VA 22908, USADepartment of Neurological Surgery, University of Miami, Miami, FL 33136, USADepartment of Radiology, Auckland City Hospital, Auckland 1142, New ZealandDepartment of Radiology, Auckland City Hospital, Auckland 1142, New ZealandLarge pseudoaneurysms which compress the parent vessel are challenging lesions to successfully treat with endovascular therapy. We describe the endovascular treatment of a giant extracranial carotid artery (ECCA) pseudoaneurysm resulting in substantial mass effect on the common carotid artery (CCA) bifurcation using a telescoping dual covered stent graft construct. A 56-year-old male was diagnosed with an 8.5 cm × 13 cm pseudoaneurysm arising from the left CCA bifurcation, which was causing luminal narrowing of the CCA and proximal internal carotid artery (ICA). The patient underwent endovascular intervention, during which a balloon-expandable covered stent was deployed within a heparin-bonded covered stent, such that the overall construct spanned from the CCA to the lower cervical ICA. The employment of a telescoping dual covered stent technique can successfully treat appropriately selected patients with large or giant ECCA pseudoaneurysms, with the concomitant goals of excluding the pseudoaneurysm and restoring the luminal caliber of the parent artery.http://www.thieme-connect.de/DOI/DOI?10.4103/0976-3147.196441 carotid artery covered stent graft endovascular procedures pseudoaneurysm stents |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Dale Ding Robert M. Starke Maurice Moriarty Stefan Brew |
spellingShingle |
Dale Ding Robert M. Starke Maurice Moriarty Stefan Brew Telescoping Dual Covered Stent Graft Construct for Endovascular Treatment of a Giant Extracranial Carotid Artery Pseudoaneurysm Journal of Neurosciences in Rural Practice carotid artery covered stent graft endovascular procedures pseudoaneurysm stents |
author_facet |
Dale Ding Robert M. Starke Maurice Moriarty Stefan Brew |
author_sort |
Dale Ding |
title |
Telescoping Dual Covered Stent Graft Construct for Endovascular Treatment of a Giant Extracranial Carotid Artery Pseudoaneurysm |
title_short |
Telescoping Dual Covered Stent Graft Construct for Endovascular Treatment of a Giant Extracranial Carotid Artery Pseudoaneurysm |
title_full |
Telescoping Dual Covered Stent Graft Construct for Endovascular Treatment of a Giant Extracranial Carotid Artery Pseudoaneurysm |
title_fullStr |
Telescoping Dual Covered Stent Graft Construct for Endovascular Treatment of a Giant Extracranial Carotid Artery Pseudoaneurysm |
title_full_unstemmed |
Telescoping Dual Covered Stent Graft Construct for Endovascular Treatment of a Giant Extracranial Carotid Artery Pseudoaneurysm |
title_sort |
telescoping dual covered stent graft construct for endovascular treatment of a giant extracranial carotid artery pseudoaneurysm |
publisher |
Thieme Medical and Scientific Publishers Pvt. Ltd. |
series |
Journal of Neurosciences in Rural Practice |
issn |
0976-3147 0976-3155 |
publishDate |
2016-12-01 |
description |
Large pseudoaneurysms which compress the parent vessel are challenging lesions to successfully treat with endovascular therapy. We describe the endovascular treatment of a giant extracranial carotid artery (ECCA) pseudoaneurysm resulting in substantial mass effect on the common carotid artery (CCA) bifurcation using a telescoping dual covered stent graft construct. A 56-year-old male was diagnosed with an 8.5 cm × 13 cm pseudoaneurysm arising from the left CCA bifurcation, which was causing luminal narrowing of the CCA and proximal internal carotid artery (ICA). The patient underwent endovascular intervention, during which a balloon-expandable covered stent was deployed within a heparin-bonded covered stent, such that the overall construct spanned from the CCA to the lower cervical ICA. The employment of a telescoping dual covered stent technique can successfully treat appropriately selected patients with large or giant ECCA pseudoaneurysms, with the concomitant goals of excluding the pseudoaneurysm and restoring the luminal caliber of the parent artery. |
topic |
carotid artery covered stent graft endovascular procedures pseudoaneurysm stents |
url |
http://www.thieme-connect.de/DOI/DOI?10.4103/0976-3147.196441 |
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