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Endovascular repair for an extracranial internal carotid aneurysm with cervical access: A case report
Ignacio J Rivera-Chavarría1, Juan C Alvarado-Marín1
1Division of Vascular Surgery, Rafael Ángel Calderón Guardia Hospital, Caja Costarricense del Seguro Social, San José, Costa Rica.
Background:
Carotid aneurysms are a rare pathology. This vascular disorder can be asymptomatic or it can cause local compression. The disorder poses a high risk of embolization and rupture.
Presentation Of Case:
A 79 years old female, presents with a right internal carotid fusiform aneurysm, approximately 3.8cm in diameter, localized 3.30cm from the common carotid artery bifurcation with an extremely tortuous common carotid artery.
Discussion:
Surgical management of the extracranial internal carotid artery remains varying and challenging, particularly with a distal internal carotid aneurysm and with anatomical difficulties.
Conclusion:
Endovascular management of an internal carotid aneurysm with cervical access using an expanded polytetrafluoroethylene covered stent with Heparin Bioactive Surface in the carotid area, is safe and effective.
