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Angiología
versão On-line ISSN 1695-2987versão impressa ISSN 0003-3170
Resumo
CARDENAS FIGUEROA, Edgar; ABDO SARRAS, Germán e DURAN CARRILLO, Franz. Micromesh stent for treating a of symptomatic cervical internal carotid artery aneurysm. Angiología [online]. 2022, vol.74, n.1, pp.34-37. Epub 14-Mar-2022. ISSN 1695-2987. https://dx.doi.org/10.20960/angiologia.00325.
Introduction:
the management and treatment of a spontaneous carotid aneurysm using a minimally invasive endovascular technique is a rare procedure. This case resulted in the exclusion of the aneurysm from circulation, maintaining the patency of the internal carotid artery and its terminal cerebral branches.
Case report:
we present the case of a 61-year-old man with a history of arterial hypertension and six previous cerebrovascular events with brain micro-injuries without neurological focus. Angiographic investigation revealed an aneurysm of the left internal carotid artery, cervical segment (C1) of wide neck, saccular, possibly causing the patient's symptoms.
Discussion:
definitive percutaneous endovascular management of the aneurysm was indicated using standard technique and micro malted stent placement (CGuard™), covering the neck and achieving immediate exclusion of the carotid aneurysm. Follow-up one month after the procedure confirmed closure, carotid patency and resolution of symptoms.
Palavras-chave : Carotid artery aneurysm; Micromesh stent; Endovascular treatment; CGuard™.