Injury pertaining to the common carotid artery may result in complete or partial arterial transection, pseudoaneurysms, or arteriovenous connections. Endovascular treatment option of the pseudoaneurysm has already been established with favorable success rate and minimal morbidity. Our purpose is to report one 18-year-old male patient having 2 traumatic pseudoaneurysms as a result of penetrating stab injury in the extracranial common carotid. The patient was successfully treated using 2 overlapping bare-metal stents. The 2 common carotid pseudoaneurysms had different degree inflow angles defined as the space between the lines indicating the direction of blood flow from the parent artery and through the aneurysmal neck to the dome. Computed tomography angiography was utilized to follow the evolution of the pseudoaneurysms until total occlusion was demonstrated. The treatment modality used in this report represents an alternative approach of the endovascular treatment for the extracranial carotid pseudoaneurysm.
ShamesMLDavisJWEvansAJ. Endoluminal stent placement for the treatment of traumatic carotid artery pseudoaneurysm: case report and review of the literature. J Trauma. 1999;46(4):724–726.
2.
Diaz-DazaOArraizaFJBarkleyJMWhighamCJ. Endovascular therapy of traumatic vascular lesions of the head and neck. Cardiovasc Intervent Radiol. 2003;26(3):213–221.
3.
SchievinkWI. Spontaneous dissection of the carotid and vertebral arteries. N Engl J Med. 2001;344(12):898–906.
4.
O'ShaughnessyBAGetchCCBendokBRParkinsonRJBatjerHH. Progressive growth of a giant dolichoectatic vertebrobasilar artery aneurysm after complete Hunterian occlusion of the posterior circulation: case report. Neurosurgery. 2004;55(5):1223.
5.
SundtTMJrPearsonBWPiepgrasDGHouserOWMokriB. Surgical management of aneurysms of the distal extracranial internal carotid artery. J Neurosurg. 1986;64(2):169–182.
MorganMKSekhonLH. Extracranial-intracranial saphenous vein bypass for carotid or vertebral artery dissections: a report of six cases. J Neurosurg. 1994;80(2):237–246.
8.
MawadMEKlucznikRP. Giant serpentine aneurysms: radiographic features and endovascular treatment. AJNR Am J Neuroradiol. 1995;16(5):1053–1060.
9.
CoxMWWhittakerDRMartinezCFoxCJFeuersteinIMGillespieDL. Traumatic pseudoaneurysms of the head and neck: early endovascular intervention. J Vasc Surg. 2007;46(6):1227–1233.
10.
O'ShaughnessyBABendokBRParkinsonRJShaibaniABatjerHH. Transarterial coil embolization of a high-flow vertebrojugular fistula due to penetrating craniocervical trauma: case report. Surg Neurol. 2005;64(4):335–340.
11.
HerreraDAVargasSADublinAB. Endovascular treatment of penetrating traumatic injuries of the extracranial carotid artery. J Vasc Intervent Radiol. 2011;22(1):28–33.
12.
KleinGESzolarDHRaithJFrühwirthHPascherOHauseggerKA. Posttraumatic extracranial aneurysm of the internal carotid artery: combined endovascular treatment with coils and stents. AJNR Am J Neuroradiol. 1997;18(7):1261–1264.
MarasDLioupisCMagoufisGTsamopoulosNMoulakakisKAndrikopoulosV. Covered stent-graft treatment of traumatic internal carotid artery pseudoaneurysms: a review. Cardiovasc Intervent Radiol. 2006;29(6):958–968.
15.
PhatourosCCSasakiTYHigashidaRT. Stent-supported coil embolization: the treatment of fusiform and wide-neck aneurysms and pseudoaneurysms. Neurosurgery. 2000;47(1):107–113.
16.
GeremiaGBakonMBrenneckeLHaklinMSilverB. Experimental arteriovenous fistulas: treatment with silicone-covered metallic stents. AJNR Am J Neuroradiol. 1997;18(2):271–277.
17.
LinkJFeyerabendBGrabenerM. Dacron-covered stent-grafts for the percutaneous treatment of carotid aneurysms: effectiveness and biocompatibility—experimental study in swine. Radiology. 1996;200(2):397–401.
18.
HorowitzMBMillerG3rdMeyerYCarstensG 3rdPurdyPD. Use of intravascular stents in the treatment of internal carotid and extracranial vertebral artery pseudoaneurysms. AJNR Am J Neuroradiol. 1996;17(4):693–696.
19.
BinaghiSChapotRRogopoulosAHoudartE. Carotid stenting of chronic cervical dissecting aneurysm: a report of two cases. Neurology. 2002;59(6):935–937.
20.
BernsteinSMColdwellDMPrallJABregaKE. Treatment of traumatic carotid pseudoaneurysm with endovascular stent placement. J Vasc Intervent Radiol. 1997;8(6):1065–1068.
21.
HurstRWHaskalZJZagerEBagleyLJFlammES. Endovascular stent treatment of cervical internal carotid artery aneurysms with parent vessel preservation. Surg Neurol. 1998;50(4):313–17.
22.
Perez-CruetMJPatwardhanRVMawadMERoseJE. Treatment of dissecting pseudoaneurysm of the cervical internal carotid artery using a wall stent and detachable coils: case report. Neurosurgery. 1997;40(3):622–625.
23.
WakhlooAKSchellhammerFde VriesJHaberstrohJSchumacherM. Self-expanding and balloon-expandable stents in the treatment of carotid aneurysms: an experimental study in a canine model. AJNR Am J Neuroradiol. 1994;15(3):493–502.
24.
LieberBBStancampianoAPWakhlooAK. Alteration of hemodynamics in aneurysm models by stenting: influence of stent porosity. Ann Biomed Eng. 1997;25(3):460–469.
25.
DoerflerAWankeIEgelhofTStolkeDForstingM. Double-stent method: therapeutic alternative for small wide-necked aneurysms. technical note. J Neurosurg. 2004;100(1):150–154.
26.
BenndorfGCampiASchneiderGHWellnhoferEUnterbergA. Overlapping stents for treatment of a dissecting carotid artery aneurysm. J Endovasc Ther. 2001;8(6):566–570.
27.
BaharogluMISchirmerCMHoitDAGaoBLMalekAM. Aneurysm inflow-angle as a discriminant for rupture in sidewall cerebral aneurysms: morphometric and computational fluid dynamic analysis. Stroke. 2010;41(7):1423–1430.
