Endovascular Treatment Using Graft-Stent for Pseudoaneurysm of the Cavernous Internal Carotid Artery.
10.3340/jkns.2011.50.1.48
- Author:
Jun Kyeung KO
1
;
Tae Hong LEE
;
Jae Il LEE
;
Chang Hwa CHOI
Author Information
1. Department of Neurosurgery, School of Medicine, Pusan National University, Busan, Korea.
- Publication Type:Case Report
- Keywords:
Internal carotid artery;
Pseudoaneurysm;
Graft-stent;
Oculomotor palsy
- MeSH:
Aneurysm;
Aneurysm, False;
Angiography, Digital Subtraction;
Arteries;
Carotid Artery, Internal;
Caves;
Humans;
Middle Aged;
Neck;
Paralysis;
Parents
- From:Journal of Korean Neurosurgical Society
2011;50(1):48-50
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 57-year-old man presented with a 2-day history of left oculomotor palsy. Digital subtraction angiography revealed a pseudoaneurysm of the left cavernous internal carotid artery (ICA) measuring 37x32 mm. The pseudoaneurysm was treated with a balloon expandable graft-stent to occlude the aneurysmal neck and preserve the parent artery. A post-procedure angiogram confirmed normal patency of the ICA and complete sealing of the aneurysmal neck with no opacification of the sac. After the procedure, the oculomotor palsy improved gradually, and had completely resolved 3 months after the procedure. A graft-stent can be an effective treatment for a pseudoaneurysm of the cavernous ICA with preservation of the parent artery.
