Endovascular Treatment of Traumatic Carotid Pseudoaneurysm with Stenting and Coil Embolization
Posttraumatic internal carotid pseudoaneurysm is an infrequent but potentially life-threatening condition that complicates approximately one-third of blunt carotid injuries. Other types of injuries include dissection, thrombosis, and complete disruption. Historically, carotid pseudoaneurysms have been managed operatively with repair, ligation, and anticoagulation, with percutaneous angioplasty and stenting emerging over the past decade. We present the case of a 19-year-old patient with a posttraumatic internal carotid pseudoaneurysm that increased in size with conservative management and was treated with coil embolization and stenting.
Division of Vascular Surgery, New York Presbyterian Hospital, Cornell University, Weill Medical School and Columbia University, College of Physicians and Surgeons, New York, NY
Correspondence to: James F. McKinsey, MD, Division of Vascular Surgery Site, Columbia Presbyterian Medical Center and New York Presbyterian Hospital, Cornell University, Weill Medical School, Columbia University, College of Physicians and Surgeons, 161 Fort Washington Avenue, Room 648, New York, NY 10032, USA