Cavernous carotid artery pseudo-aneurysm treated by stenting in acromegalic patient
We report on a case of endovascular management of pseudoaneurysm of the cavernous segment of the internal carotid artery with covered stent reconstruction. A 36 years-old woman with a history of previous transsphenoidal approach for pituitary macroadenoma and false aneurysma formation was studied in a protocol that included balloon test occlusion and cerebral blood flow evaluation. An endovascular covered stent deployment in the area of the carotid laceration was performed with isolation of the aneurysm from the circulation and maintenance of the carotid flow. Helical angio-CT and cerebral digital subtraction angiography showed the carotid preservation without stenosis in the stented area. In conclusion, endovascular stent reconstruction for post-transsphenoidal carotid artery laceration and false aneurysm is demonstrated as useful technical adjunct in the management strategy and with the potential for carotid sacrifice morbidity avoidance.
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Academia Brasileira de Neurologia - ABNEURO
2003
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oai:scielo:S0004-282X20030003000252003-07-28Cavernous carotid artery pseudo-aneurysm treated by stenting in acromegalic patientSouza,Jorge Marcondes deDomingues,Flavio S.Espinosa,GaudencioGadelha,Monica cerebral aneurysms intravascular stents transsphenoidal surgery pituitary tumor We report on a case of endovascular management of pseudoaneurysm of the cavernous segment of the internal carotid artery with covered stent reconstruction. A 36 years-old woman with a history of previous transsphenoidal approach for pituitary macroadenoma and false aneurysma formation was studied in a protocol that included balloon test occlusion and cerebral blood flow evaluation. An endovascular covered stent deployment in the area of the carotid laceration was performed with isolation of the aneurysm from the circulation and maintenance of the carotid flow. Helical angio-CT and cerebral digital subtraction angiography showed the carotid preservation without stenosis in the stented area. In conclusion, endovascular stent reconstruction for post-transsphenoidal carotid artery laceration and false aneurysm is demonstrated as useful technical adjunct in the management strategy and with the potential for carotid sacrifice morbidity avoidance.info:eu-repo/semantics/openAccessAcademia Brasileira de Neurologia - ABNEUROArquivos de Neuro-Psiquiatria v.61 n.2B 20032003-06-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2003000300025en10.1590/S0004-282X2003000300025 |
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Souza,Jorge Marcondes de Domingues,Flavio S. Espinosa,Gaudencio Gadelha,Monica |
| spellingShingle |
Souza,Jorge Marcondes de Domingues,Flavio S. Espinosa,Gaudencio Gadelha,Monica Cavernous carotid artery pseudo-aneurysm treated by stenting in acromegalic patient |
| author_facet |
Souza,Jorge Marcondes de Domingues,Flavio S. Espinosa,Gaudencio Gadelha,Monica |
| author_sort |
Souza,Jorge Marcondes de |
| title |
Cavernous carotid artery pseudo-aneurysm treated by stenting in acromegalic patient |
| title_short |
Cavernous carotid artery pseudo-aneurysm treated by stenting in acromegalic patient |
| title_full |
Cavernous carotid artery pseudo-aneurysm treated by stenting in acromegalic patient |
| title_fullStr |
Cavernous carotid artery pseudo-aneurysm treated by stenting in acromegalic patient |
| title_full_unstemmed |
Cavernous carotid artery pseudo-aneurysm treated by stenting in acromegalic patient |
| title_sort |
cavernous carotid artery pseudo-aneurysm treated by stenting in acromegalic patient |
| description |
We report on a case of endovascular management of pseudoaneurysm of the cavernous segment of the internal carotid artery with covered stent reconstruction. A 36 years-old woman with a history of previous transsphenoidal approach for pituitary macroadenoma and false aneurysma formation was studied in a protocol that included balloon test occlusion and cerebral blood flow evaluation. An endovascular covered stent deployment in the area of the carotid laceration was performed with isolation of the aneurysm from the circulation and maintenance of the carotid flow. Helical angio-CT and cerebral digital subtraction angiography showed the carotid preservation without stenosis in the stented area. In conclusion, endovascular stent reconstruction for post-transsphenoidal carotid artery laceration and false aneurysm is demonstrated as useful technical adjunct in the management strategy and with the potential for carotid sacrifice morbidity avoidance. |
| publisher |
Academia Brasileira de Neurologia - ABNEURO |
| publishDate |
2003 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2003000300025 |
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