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Traumatic carotid artery dissection and pseudoaneurysm treated with endovascular coils and stent
J H Matsuura1, D Rosenthal, H Jerius
1Department of Vascular Surgery, Georgia Baptist Medical Center, Medical College of Georgia, Atlanta, USA.
Purpose:
To report a case of post-traumatic internal carotid artery dissection and pseudoaneurysm formation at the C-1 level successfully treated by a percutaneous endovascular technique.
Methods And Results:
A 20-year-old female presented 72 hours after a motor vehicle accident with incomplete occulosympathetic paresis (Horner's syndrome), carotidynia, and leftsided 1.5-cm x 2.5-cm pseudoaneurysm at the C-1 level. Neuroradiologists embolized the pseudoaneurysm with Guglielmi detachable coils and controlled the dissection with placement of a Wallstent.
Conclusions:
This report illustrates successful percutaneous endovascular treatment of a carotid dissection and pseudoaneurysm near the base of the skull.