Traumatic internal carotid artery injury treated with overlapping bare metal stents under intravascular ultrasound guidance Victoria Stager, MD, Rajesh.

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Presentation transcript:

Traumatic internal carotid artery injury treated with overlapping bare metal stents under intravascular ultrasound guidance Victoria Stager, MD, Rajesh Gandhi, MD, David Stroman, MD, Carlos Timaran, MD, Harshal Broker, MD Journal of Vascular Surgery Volume 53, Issue 2, Pages 483-486 (February 2011) DOI: 10.1016/j.jvs.2010.08.032 Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 1 A computed tomography angiogram revealed a distal small left internal carotid artery dissection and a complex pseudoaneurysm of the right internal carotid artery at the level of C1. Journal of Vascular Surgery 2011 53, 483-486DOI: (10.1016/j.jvs.2010.08.032) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 2 An arteriogram revealed a small non-flow-limiting dissection of the distal left internal carotid artery and a large complex pseudoaneurysm in the distal right internal carotid artery below the base of the skull with sluggish distal flow. Journal of Vascular Surgery 2011 53, 483-486DOI: (10.1016/j.jvs.2010.08.032) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 3 Intravascular ultrasound imaging showed the neck of the pseudoaneurysm spanned 2 cm. Journal of Vascular Surgery 2011 53, 483-486DOI: (10.1016/j.jvs.2010.08.032) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 4 A completion arteriogram showed rapid filling into the right cerebral circulation with sluggish contrast stasis in the pseudoaneurysm. Journal of Vascular Surgery 2011 53, 483-486DOI: (10.1016/j.jvs.2010.08.032) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 5 Intravascular ultrasound imaging confirmed good placement of the stents with complete expansion, wall apposition, and exclusion of the lesion. Journal of Vascular Surgery 2011 53, 483-486DOI: (10.1016/j.jvs.2010.08.032) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 6 A computed tomography angiogram at 3 months revealed the healed left internal carotid artery and a resolved right internal carotid artery pseudoaneurysm. Journal of Vascular Surgery 2011 53, 483-486DOI: (10.1016/j.jvs.2010.08.032) Copyright © 2011 Society for Vascular Surgery Terms and Conditions