Briganti F, Tortora F, Volpe A, Elefante A, De Notaris M, Panagiotopoulos K
Department of Neuroradiology, Federico II University School of Medicine, Naples, Italy.
Minim Invasive Neurosurg. 2005 Oct;48(5):306-9. doi: 10.1055/s-2005-915607.
Cervical internal carotid dissections are rare. Approximately one third of the cases are associated with pseudoaneurysm. The first-choice management of cervical carotid dissecting aneurysms consists in anticoagulation or antiplatelet therapy. Surgery is typically indicated in cases of failure of conservative therapy with recurrent cerebral ischemic attacks. In recent years, stent implantation has been also employed for the management of patients with carotid dissecting aneurysms whose neurological conditions were refractory to medical treatment. In the present case we describe the treatment of a patient with a carotid dissecting aneurysm, by means of endovascular stent application and provide angiographic control 24 months after the intervention.
