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OtherNeurointervention

Use of Covered Stent Grafts in the Extracranial Carotid Artery: Report of Three Patients with Follow-up between 8 and 42 Months

Kennith F. Layton, Yong W. Kim and Joseph H. Hise
American Journal of Neuroradiology November 2004, 25 (10) 1760-1763;
Kennith F. Layton
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Yong W. Kim
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Joseph H. Hise
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    Fig 1.

    Images obtained in patient 1, a 31-year-old woman who presented with an acutely enlarging left neck mass.

    A, Selective arteriogram of the left common carotid artery shows a large pseudoaneurysm of the left internal carotid artery with contrast material extravasation.

    B, Covered stent graft is placed across the neck of the pseudoaneurysm.

    C, Arteriogram obtained after stent graft placement shows occlusion of the pseudoaneurysm from the internal carotid artery.

  • Fig 2.
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    Fig 2.

    Images obtained in patient 2, a 23-year-old man who presented with gunshot wounds to the skull and neck.

    A, Selective left internal carotid arteriogram shows a posttraumatic pseudoaneurysm near the skull base.

    B, Selective left internal carotid artery injection shows a stent across the pseudoaneurysm, with multiple coils within the pseudoaneurysm. Minimal residual flow is noted in the pseudoaneurysm.

    C, Selective injection of the internal carotid artery shows a recurrent pseudoaneurysm.

    D, Selective common carotid artery injection shows the covered stent grafts in place with occlusion of the pseudoaneurysm.

    E, Injection of the common carotid artery performed 8 months after stent graft placement shows continued occlusion of the pseudoaneurysm.

  • Fig 3.
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    Fig 3.

    Images obtained in patient 3, a 63-year-old woman who had undergone three carotid endarterectomies.

    A, Selective arteriogram of the right common carotid artery shows moderate stenosis at the midportion of the previously deployed wall stent.

    B, Covered stent graft is placed overlying the midportion of the wall stent. Angiogram obtained after stent graft shows no evidence of stenosis.

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American Journal of Neuroradiology: 25 (10)
American Journal of Neuroradiology
Vol. 25, Issue 10
1 Nov 2004
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Use of Covered Stent Grafts in the Extracranial Carotid Artery: Report of Three Patients with Follow-up between 8 and 42 Months
Kennith F. Layton, Yong W. Kim, Joseph H. Hise
American Journal of Neuroradiology Nov 2004, 25 (10) 1760-1763;
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  • Republished: Covered stents for exclusion of iatrogenic common carotid artery-internal jugular vein fistula and brachiocephalic artery pseudoaneurysm
  • Endovascular therapy of extracranial carotid artery pseudoaneurysms: case series and literature review
  • Covered stents for exclusion of iatrogenic common carotid artery-internal jugular vein fistula and brachiocephalic artery pseudoaneurysm
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Kennith F. Layton, Yong W. Kim, Joseph H. Hise
Use of Covered Stent Grafts in the Extracranial Carotid Artery: Report of Three Patients with Follow-up between 8 and 42 Months
American Journal of Neuroradiology Nov 2004, 25 (10) 1760-1763;

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