Endovascular Treatment of Posttraumatic Pseudoaneurysm of the Common Carotid Artery

Abstract EN

Carotid artery injuries with pseudoaneurysm are uncommon but associated with central neurologic dysfunction.

We present a case of posttraumatic pseudoaneurysm of the right common carotid artery treated by implantation of a covered stent.

A 44-year-old woman with multiple injuries after fall from height presents a small dissection flap of the right common carotid artery (RCCA) on the initial computed tomography angiography (CTA).

Fifteen days later a 10 mm pseudoaneurysm is observed on control CTA.

We decided endovascular treatment.

Through right femoral access with a long introducer sheath placed in the innominate artery, we implanted a covered stent Advanta V12 9×38 mm in the RCCA.

The patient was discharged from the hospital with antiplatelet therapy without any neurological dysfunction and complete exclusion of the pseudoaneurysm.

Use of covered stents has emerged as a safe and effective alternative to surgical repair of carotid injuries.