Endovascular Repair of Carotid Artery Pseudoaneurysm after Carotid Endarterectomy with Self-Expanding Covered Stents: A Long-Term Follow-Up

Document Type

Article

Publication Date

10-1-2010

Abstract

A 66-year-old Caucasian man with type 2 diabetes mellitus, peptic ulcer disease, peripheral vascular disease, and a 70% symptomatic carotid stenosis underwent a successful carotid endarterectomy with intraoperative shunting and Dacron patch closure in October 2000. Three months later, he developed a pseudoaneurysm at the site of the surgical repair. This was successfully treated with endovascular covered stents and has continued to remain patent at 9-year follow-up. Carotid artery pseudoaneurysms are secondary to trauma, infection, or previous surgery. Open surgical repair has been the treatment of choice for these pseudoaneurysms. However, open repairs are difficult and carry a high morbidity. Thus, endovascular therapy is a valid treatment for carotid artery pseudoaneurysm. Reviewing the published data, this is the first case report with successful endovascular covered stent placement for a carotid pseudoaneurysm with 9-year follow-up.

Publication Title

Annals of Vascular Surgery

Volume

24

Issue

7

First Page

954.e13

Last Page

954.e16

PubMed ID

20831997

Comments

This article was published in Annals of Vascular Surgery, Volume 24, Issue 7, October 2010, Pages 954.e 13-6.

The published version is available at http://dx.doi.org/10.1016/j.avsg.2010.03.020

Copyright © 2010 by Elsevier Inc.

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