Endovascular treatment of a mycotic intracavernous carotid artery aneurysm using a stent graft.

Abstract

Intracavernous carotid artery mycotic aneurysms are rare and management is determined by clinical presentation. We describe the first documented proximal intracranial mycotic aneurysm treated by a balloon expandable Aneugraft PCS covered stent. An 11-year-old female child presented with acute onset fever, headache, chemosis followed by diplopia, right-sided ptosis with ophthalmoplegia. Magnetic resonance imaging revealed bilateral cavernous sinus thrombosis. Subsequent work-up included serial computed tomographic arteriography and digital subtraction angiography which revealed a progressively enlarging intracavernous carotid aneurysm. An Aneugraft PCS covered stent was successfully deployed endovascularly, and complete exclusion of the aneurysm was achieved while maintaining the patency of the parent artery. The use of covered stents in intracranial vasculature can be an effective and safe treatment modality for exclusion of the mycotic aneurysm in selected cases.

• Authors: Vivek Gupta, Vikash Jain, S N Mathuria, N Khandelwal
• Journal: Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences (Interv Neuroradiol) Vol. 19 Issue 3 Pg. 313-9 (Sep 2013) ISSN: 1591-0199 [Print] United States
• PMID: 24070080 (Publication Type: Case Reports, Journal Article)

Topics

• Blood Vessel Prosthesis
• Carotid Artery Diseases (diagnostic imaging, surgery)
• Child
• Endovascular Procedures (instrumentation, methods)
• Female
• Humans
• Intracranial Aneurysm (diagnostic imaging, surgery)
• Radiography
• Stents
• Treatment Outcome