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Carotid stenting of chronic cervical dissecting aneurysm: a report of two cases

Stefano Binaghi1, René Chapot, André Rogopoulos

  • 1Department of Neuroradiology, Hôpital Lariboisière, Paris, France.

Neurology
|September 26, 2002
PubMed

Insights

Self-expanding stents successfully treated chronic dissecting aneurysms in the upper cervical internal carotid artery in two young patients. This intervention restored normal arteriographic morphology, offering a potential solution for complex arterial dissections.

Area of Science:

  • Vascular Surgery
  • Interventional Neuroradiology
  • Cerebrovascular Disease

Background:

  • Chronic dissecting aneurysms of the upper cervical internal carotid artery present a significant treatment challenge, particularly in young patients.
  • Subarachnoid hemorrhage history and specific angiographic findings necessitate effective therapeutic interventions.

Observation:

  • Two young patients with chronic dissecting aneurysms of the internal carotid artery underwent treatment.
  • Angiographic findings indicated dissection requiring intervention.

Findings:

  • Successful stent implantation was achieved using a single self-expandable stent in both patients.
  • Post-deployment arteriography confirmed normal morphology, indicating successful aneurysm exclusion and vessel reconstruction.

Implications:

  • Stent implantation is a viable and effective treatment for chronic dissecting aneurysms in the upper cervical internal carotid artery.
  • This approach offers a minimally invasive option for young patients with complex cerebrovascular dissections.
  • Restoration of normal arterial morphology suggests a reduced risk of future complications such as re-bleeding or stroke.

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