Balloon-mounted covered stent as endovascular management of a traumatic cervical internal carotid artery pseudoaneurysm in a 23-year-old: a case report.

Autor:	Abdelsalam A; Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, FL, USA., Saini V; Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, FL, USA., Eatz T; Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, FL, USA., Silva MA; Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, FL, USA., Luther EM; Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, FL, USA., Bandes M; Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, FL, USA., Thompson JW; Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, FL, USA., Ramsay IA; Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, FL, USA., Burks JD; Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, FL, USA., Fountain HB; Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, FL, USA., Starke RM; Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.
Jazyk:	angličtina
Zdroj:	AME case reports [AME Case Rep] 2023 Dec 26; Vol. 8, pp. 17. Date of Electronic Publication: 2023 Dec 26 (Print Publication: 2024).
DOI:	10.21037/acr-23-56
Abstrakt:	Background: Distal cervical internal carotid artery (cICA) pseudoaneurysms are uncommon. They may lead to thromboembolic or hemorrhagic complications, especially in young adults. We report one of the first cases in the literature regarding the management via PK Papyrus (Biotronik, Lake Oswego, Oregon, USA) balloon-mounted covered stent of a 23-year-old male with an enlarging cervical carotid artery pseudoaneurysm and progressive internal carotid artery stenosis. Case Description: We report the management of a 23-year-old male with an enlarging cervical carotid artery pseudoaneurysm and progressive internal carotid artery stenosis. Based on clinical judgment and imaging analysis, the best option to seal the aneurysm was a PK Papyrus 5×26 balloon-mounted covered stent. A follow-up angiogram showed no residual filling of the pseudoaneurysm, but there was some contrast stagnation just proximal to the stent, which is consistent with a residual dissection flap. We then deployed another PK Papyrus 5×26 balloon-mounted covered stent, providing some overlap at the proximal end of the stent. An angiogram following this subsequent deployment demonstrated complete reconstruction of the cICA with no residual evidence of pseudoaneurysm or dissection flap. There were no residual in-stent stenosis or vessel stenosis. The patient was discharged the day after the procedure with no complications. Conclusions: These positive outcomes support the use of a balloon-mounted covered stent as a safe and feasible modality with high technical success for endovascular management of pseudoaneurysm. Competing Interests: Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://acr.amegroups.com/article/view/10.21037/acr-23-56/coif). R.M.S.’s research is supported by the Neurosurgery Research & Education Foundation (NREF), Joe Niekro Foundation, Brain Aneurysm Foundation, Bee Foundation, and by National Institute of Health (NIH) (No. R01NS111119-01A1) and (No. UL1TR002736 and KL2TR002737) through the Miami Clinical and Translational Science Institute, from the National Center for Advancing Translational Sciences and the National Institute on Minority Health and Health Disparities. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the NIH. R.M.S. has an unrestricted research grant from Medtronic and has consulting and teaching agreements with Penumbra, Abbott, Medtronic, Balt, InNeuroCo, Cerenovus, Naglreiter and Optimize Vascular. The other authors have no conflicts of interest to declare. (2024 AME Case Reports. All rights reserved.)
Databáze:	MEDLINE
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