Endovascular treatment for cervical carotid artery aneurysm: A case report

Yasuhiko Hattori, Kenji Sugiu, Tomohito Hishikawa, Koji Tokunaga, Kazuya Takahashi, Isao Date

Research output: Contribution to journalArticlepeer-review

Abstract

We report here a case of cervical carotid artery aneurysm. This 37-year-old male suffered from acute neck swelling when he was taking lunch after physical work. Ultrasonography demonstrated a cervical pseudoaneurysm and a jet flow, which was blowing into the dome from the carotid artery. Angiogram revealed an aneurysm with a diameter of 3 cm at the bifurcation of the common carotid artery. Coil embolization using double-catheter technique was performed and complete occlusion of the aneurysm was obtained without any complications. The patient returned to his normal life. Cervical carotid artery aneurysms are rare and they induce pain by swelling in the neck, hoarseness, swallowing disturbance, hemorrhage, and cerebral ischemia due to embolism. In case of a cervical carotid artery aneurysm, safe and effective treatments are required and endovascular treatment should be considered. Although stent-assisted coil embolization or covered-stent placement were reported as an effective treatment for cervical aneurysms, coil embolization without using a stent was performed in this particular patient who is a young, blue-collar worker because the avoidance of long-term anti-platelet therapy was desirable Preoperative evaluation is important to select adequate treatment.

Original languageEnglish
Pages (from-to)515-523
Number of pages9
JournalNeurological Surgery
Volume41
Issue number6
Publication statusPublished - Jun 2013

Keywords

  • Cervical carotid artery
  • Coil
  • Endovascular treatment
  • Pseudoaneurysm
  • Stent

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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