Chern Joshua J, Chamoun Roukoz B, Mawad Michel E, Whitehead William E, Curry Daniel J, Luerssen Thomas G, Jea Andrew
Division of Pediatric Neurosurgery, Department of Neurosurgery, Texas Children's Hospital, Baylor College of Medicine, 6621 Fannin, Houston, Texas 77030, USA.
Cases J. 2009 Oct 28;2:171. doi: 10.1186/1757-1626-2-171.
Traumatic extracranial carotid artery injuries are rare in children. Treatment options include surgery, anticoagulation therapy and endovascular treatment. There have been only limited reports in the literature documenting endovascular carotid stent placement in the pediatric population. In these reports, stent deployment was utilized in the setting of pseudoaneurysm formation.
Here we report a case of endovascular carotid stenting for traumatic carotid dissection in a 15 year-old boy. An uncovered bare self-expanding stent was used to treat progressive high-grade stenosis in the early post-injury period.
At 6 months post-procedure, complete healing of the carotid artery was demonstrated on follow-up angiogram.