Treatment of dissecting extracranial internal carotid artery aneurysm with a flow-diverting stent. Case report
Abstract
Aneurysms of the extracranial part of the internal carotid artery are quite rare. They may be practically asymptomatic, however, have a high risk of rupture, development of arterial embolism and cerebrovascular insufficiency. Interventions for this pathology are performed by both vascular operations and neurosurgeons (interventional neuroradiologists). Evidence-based protocols for the treatment of such aneurysms are currently lacking. The etiology of dissecting aneurysms of the extracranial internal carotid artery includes traumatic injuries, connective tissue dysplasia and atherosclerotic changes of the vascular wall. We are conducting a clinical observation of a 55-year-old female patient with a giant dissecting aneurysm of the extracranial segment of the right internal carotid artery, caused by elongated styloid process (stylocarotid symptoms, “Eagle syndrome”), successfully cured by implanting a flow deverting stent Silk +.
About the Authors
M. I. Khristoforova
RNSI n. a.A.L. Polenov at Almazov National Medical Research Centre
Russian Federation
Russian Federation
Saint Petersburg
A. A. Ivanov
RNSI n. a.A.L. Polenov at Almazov National Medical Research Centre
Russian Federation
Russian Federation
Saint Petersburg
A. Yu. Ivanov
North-Western State Medical University n. a. I. I. Mechnikov, Department of Neurosurgery
Russian Federation
Russian Federation
K. I. Sebelev
RNSI n. a.A.L. Polenov at Almazov National Medical Research Centre
Russian Federation
Russian Federation
Saint Petersburg
V. P. Bersnev
RNSI n. a.A.L. Polenov at Almazov National Medical Research Centre
Russian Federation
Russian Federation
Saint Petersburg
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Review
For citations:
Khristoforova M.I., Ivanov A.A., Ivanov A.Yu., Sebelev K.I., Bersnev V.P. Treatment of dissecting extracranial internal carotid artery aneurysm with a flow-diverting stent. Case report. Russian Neurosurgical Journal named after Professor A. L. Polenov. 2019;11(4):78-83. (In Russ.)
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