BACKGROUND: Limited data exists on the durability and occlusion rate of treating extracranial cervical internal carotid artery pseudoaneurysms using the pipeline embolization device (PED) flow-diverting stent. METHODS: Three patients presenting with dissecting cervical internal carotid artery pseudoaneurysms were treated with the PED as the sole treatment modality. RESULTS: In all three patients, successful aneurysmal occlusion and parent vessel reconstruction occurred on immediate angiography and continued on 6-month follow-up. No immediate or delayed complications were seen, and all patients remained neurologically intact. CONCLUSION: Complete aneurysmal occlusion and long-term angiographic occlusion can occur after PED treatment of cervical carotid pseudoaneurysms. In select patients, the PED can be a suitable primary treatment modality with good neurological outcome for cervical carotid pseudoaneurysms.
Wang, A., Santarelli, J., & Stiefel, M. (2017). Pipeline Embolization Device as Primary Treatment for Cervical Internal Carotid Artery Pseudoaneurysms. Surgical Neurology International, 8, 3. https://doi.org/10.4103/2152-7806.198730
Originally published in Surgical Neurology International 2017;8:3.. The original material can be found here.
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