Treatment of an extracranial internal carotid artery aneurysm with a flow-diverting stent

Sybren M M Robijn; Jantien C Welleweerd; Rob T H Lo; Frans L Moll; Gert J de Borst

doi:10.1016/j.jvsc.2015.04.016

Treatment of an extracranial internal carotid artery aneurysm with a flow-diverting stent

J Vasc Surg Cases. 2015 Jun 20;1(2):191-193. doi: 10.1016/j.jvsc.2015.04.016. eCollection 2015 Jun.

Authors

Sybren M M Robijn¹, Jantien C Welleweerd¹, Rob T H Lo², Frans L Moll¹, Gert J de Borst¹

Affiliations

¹ Department of Vascular Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
² Department of Radiology, University Medical Center Utrecht, Utrecht, The Netherlands.

Abstract

No evidenced-based guidelines exist for the treatment of extracranial carotid artery aneurysms (ECAAs). The "gold standard" for symptomatic ECAAs is surgical intervention. In distally located ECAAs just below the base of the skull, endovascular monotherapy may be beneficial. We present the case of a 21-year-old man with a symptomatic saccular aneurysm in the distal internal carotid artery receiving a flow-diverting stent. The stent was successfully positioned without adverse procedural events. At 6 months, computed tomography angiography revealed secondary occlusion of the aneurysm without further complications. The flow-diverting stent may serve as an additional treatment option for the endovascular specialist considering invasive treatment in patients with an ECAA.

Publication types

Case Reports