Cavernous carotid artery pseudo-aneurysm treated by stenting in acromegalic patient

Autor: Jorge Marcondes de Souza, Flavio S. Domingues, Gaudencio Espinosa, Monica Gadelha
Jazyk: angličtina
Rok vydání: 2003
Předmět:
Zdroj: Arquivos de Neuro-Psiquiatria, Vol 61, Iss 2B, Pp 459-462 (2003)
Druh dokumentu: article
ISSN: 1678-4227
0004-282X
DOI: 10.1590/S0004-282X2003000300025
Popis: We report on a case of endovascular management of pseudoaneurysm of the cavernous segment of the internal carotid artery with covered stent reconstruction. A 36 years-old woman with a history of previous transsphenoidal approach for pituitary macroadenoma and false aneurysma formation was studied in a protocol that included balloon test occlusion and cerebral blood flow evaluation. An endovascular covered stent deployment in the area of the carotid laceration was performed with isolation of the aneurysm from the circulation and maintenance of the carotid flow. Helical angio-CT and cerebral digital subtraction angiography showed the carotid preservation without stenosis in the stented area. In conclusion, endovascular stent reconstruction for post-transsphenoidal carotid artery laceration and false aneurysm is demonstrated as useful technical adjunct in the management strategy and with the potential for carotid sacrifice morbidity avoidance.
Databáze: Directory of Open Access Journals