The use of covered stents to treat traumatic carotid artery pseudoaneurysms is increasingly being documented. Adjunctive antiplatelet therapy is mandatory. We present a case of bilateral traumatic carotid artery pseudoaneuryms in which antiplatelet therapy was contraindicated at presentation, thereby dictating alternative treatment with coil embolization alone. Subsequent aneurysmal recurrence was successfully treated with the Wallgraft prosthesis. The literature on the use of the Wallgraft prosthesis for the treatment of carotid artery pseudoaneurysms is also reviewed.
LempertTEHalbachVV: Endovascular treatment of pseudoaneurysms with electrolytically detachable coils. Am J Neuroradiol19: 907–911, 1998.
2.
SimionatoFRighiCScottiG: Post-traumatic dissecting aneurysm of extracranial internal carotid artery: Endovascular treatment with stenting. Neuroradiology41: 543–547, 1999.
3.
Perez-CruetMJPatwardhanRV: Treatment of dissecting pseudoaneurysm of the cervical internal carotid artery using a wall stent and detachable coils: Case report. Neurosurgery40: 622–626, 1997.
ParodiJCSchonholzC: Endovascular stent-graft treatment of traumatic arterial lesions. Ann Vasc Surg13: 121–129, 1999.
6.
RamseyDWMcAuliffeW: Traumatic pseudoaneurysm and high flow arteriovenous fistula involving internal jugular vein and common carotid artery. Treatment with covered stent and embolization. Australas Radiol47: 177–180, 2003.
7.
EllisPKKennedyPTD'SaBarros AAB: Successful exclusion of a high internal carotid pseudoaneurysm using the Wallgraft endoprosthesis. Cardiovasc Intervent Radiol25: 68–69, 2002.
8.
KubaskaSMGreenbergRK: Internal carotid artery pseudoaneurysms: Treatment with the Wallgraft endoprosthesis. J Endovasc Ther10: 182–189, 2003.
9.
MoreauPAlbatBThevenetA: Surgical treatment of extracranial internal carotid artery aneurysm. Ann Vasc Surg8: 409–416, 1994.
10.
GoldstoneJ: Aneurysms of the Extracranial Carotid Artery. In: RutherfordRB: Vascular Surgery. WB Saunders Co., Philadelphia124–131, 2000.
11.
FabianTCPattonJHJrCroceMA: Blunt carotid injury: Importance of early diagnosis and anticoagulant therapy. Ann Surg223: 513–522, 1996.
12.
LimaABrancoG: A posttraumatic visual defect with late exacerbation associated with an aneurysm of the cervical internal carotid artery. Acta Med Port7: 483–486, 1994.
13.
ApplegateLJPritzMBPribramHF: Traumatic pseudoaneurysm of the cervial carotid artery: The value of arteriography. Neurosurgery26: 312–315, 1990.
TuREskridgeJGradyM: Endovascular treatment of a kitchen knife pseudoaneurysm of the cervical internal carotid artery. Am J Radiol166: 704.
16.
MukherjeeDRoffiMYadavJS: Endovascular treatment of carotid artery aneurysms with stent grafts. J Invasive Cardiol14: 269–272, 2002.
17.
SmithTPAlexanderMJ: Delayed stenosis following placement of a polyethylene terephthalate endograft in the cervical carotid artery. Report of three cases. J Neurosurg98: 421–425, 2003.
18.
CejnaMVirmaniRJonesR: Biocompatibility and performance of the Wallstent and the Wallgraft, Jostent, and Hemobahn stent-grafts in a sheep model. J Vasc Interv Radiol13: 823–830, 2002.
19.
BergerPB: Results of the Ticlid or Plavix Post-Stents (TOPPS) trial: Do they justify the switch from ticlodipine to clopidogrel after coronary stent placement?Curr Control Trials Cardiovasc Med1: 83–87, 2000.
