Endovascular treatment of carotid artery aneurysms with stent grafts

Two patients with cervical carotid artery aneurysms were treated with stent grafts. Case report #1 was a 65-year-old male with aneurysm of the right internal carotid artery and recurrent transient ischemic attacks. Case report #2 describes a 64-year-old male with a pulsatile neck mass and persistent neck discomfort. Both patients underwent successful implantation of stent grafts with complete obliteration of the aneurysms and alleviation of symptoms. Case report #2 also underwent coil embolization of the right external carotid artery to prevent retrograde filling of the aneurysmal sac. Endovascular stent graft obliteration of carotid aneurysms appears safe, feasible and a less invasive option compared to surgical repair.