We report a patient with a giant aneurysm on the left cervical internal carotid artery (ICA) treated successfully by proximal coil occlusion. Fibered platinum coils were delivered via a 5-F catheter under temporary balloon occlusion of the proximal ICA and without complications. MR imaging ten months after the procedure showed the aneurysm to be reduced in size and subtotally thrombosed. Retrograde partial filling of the aneurysmal lumen was present, however. We describe the case in detail and discuss the ideal treatment of the cervical ICA aneurysm.
MaseMBannoT: Endovascular stent placement for multiple aneurysms of the extracranial internal carotid artery: Technical case report. Neurosurgery37: 832–835, 1995.
4.
HurstRWHaskalZJ: Endovascular stent treatment of cervical internal carotid artery aneurysms with parent vessel preservation. Surg Neurol50: 313–317, 1998.
5.
HaynesDSSchwaberMK: Internal carotid artery aneurysms presenting as neck masses. Otolaryngol Head Neck Surg107: 787–791, 1992.
6.
WeissmanJLJohnsonJT: Thrombosed aneurysm of the cervical carotid artery: Avoiding a retrospective diagnosis. Radiology190: 869–871, 1994.
7.
MunozACampolloJ: Bilateral internal carotid aneurysms presenting as a nonpulsatile parapharyngeal mass: Complementary diagnosis by CT, MR imaging, and digital subtraction angiography. Am J Neuroradiol22: 864–866, 2001.
8.
GuillonBBrunereauL: Long-term follow-up of aneurysms developed during extracranial internal carotid artery dissection. Neurology53: 117–122, 1999.
9.
McCollumCHWheelerWG: Aneurysms of the extracranial carotid artery. Twenty-one year's experience. Am J Surg137: 196–200, 1979.
PetrovicPAvramovS: Surgical management of extracranial carotid artery aneurysms. Ann Vasc Surg5: 506–509, 1991.
12.
CoffinOMaizaD: Results of surgical management of internal carotid artery aneurysm by the cervical approach. Ann Vasc Surg11: 482–490, 1997.
13.
SerbinenkoFAFilatovJM: Management of giant intracranial ICA aneurysms with combined extracranial-intracranial anastomosis and endovascular occlusion. J Neurosurg73: 57–63, 1990.
14.
UchinoAMaurerPK: Balloon migration into a giant carotid aneurysm after parent artery occlusion using detachable balloons. Intervent Neuroradiol4: 323–328, 1998.
15.
SingerRJDakeMD: Covered stent placement for neurovascular disease. Am J Neuroradiol18: 507–509, 1997.
16.
SpazianteRDe ChiaraA: Intracavernous giant fusiform aneurysm of the carotid artery treated with Gianturco coils. Neurochirurgia29: 34–41, 1986.
17.
NakaharaIHandaH: Endovascular coil embolization of a recurrent giant internal carotid artery aneurysm via the posterior communicating artery after cervical carotid ligation: Case report. Surg Neurol38: 57–62, 1992.
