Transcarotid repair of carotid artery pseudoaneurysm after carotid artery endarterectomy with tandem distal internal carotid artery stenosis

Journal of Vascular Surgery Cases and Innovative Techniques
L Graham RuckerPatrick E Muck

Abstract

Pseudoaneurysm development after carotid endarterectomy is a rare occurrence. Even rarer is pseudoaneurysm formation associated with a distal carotid artery stenosis. We report the case of stent grafting of a carotid artery pseudoaneurysm and tandem high-grade distal stenosis through a transcarotid approach with active flow reversal. No reported cases of a transcarotid artery approach to address a carotid artery aneurysm with tandem stenosis were found in the literature. We show that it may be a safe alternative to a transfemoral artery approach or open surgery.

References

Feb 7, 2001·Journal of Vascular Surgery·R El-Sabrout, D A Cooley
Mar 8, 2006·Journal of Vascular Surgery·Wei ZhouAlan B Lumsden
Jun 8, 2011·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Z LiS Wang
Feb 22, 2012·Journal of Vascular Surgery·Karan GargFiras F Mussa
Aug 26, 2014·Journal of Vascular Surgery·Grant T FankhauserSamuel R Money
Jun 27, 2018·Journal of Vascular Surgery Cases and Innovative Techniques·Muhammad RizwanMahmoud B Malas

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