Archives of the Turkish Society of Cardiology
Pseudoaneurysm after carotid stenting: A case report and review of the literature [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2020; 48(6): 613-618 | DOI: 10.5543/tkda.2020.34609

Pseudoaneurysm after carotid stenting: A case report and review of the literature

Ahmet Güner1, Selçuk Pala2, Sabahattin Gündüz3, Şeyhmus Külahçıoğlu2, Ezgi Gültekin Güner1
1University of Health Sciences Turkey, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Center, Training and Research Hospital, Istanbul, Turkey
2Department of Cardiology, Kartal Koşuyolu Heart Training and Research Hospital, Istanbul, Turkey
3Department of Cardiology, VM Pendik Medical Park Hospital, Istanbul, Turkey

Carotid artery stenting has been a widely used interventional treatment method for the last 3 decades in the treatment of carotid artery stenosis. In the current literature, unlike major cardiovascular complications, less emphasis has been placed on carotid pseudoaneurysm (PA). A carotid artery PA can be caused by trauma, spontaneous infection, vasculitis, or it may be iatrogenic. However, the incidence of PA secondary to carotid stenting is extremely rare. Although it may be completely asymptomatic in rare instances, it usually progresses symptomatically (neck swelling, nerve compression, respiratory distress, hoarseness, dysphagia, and ischemic cerebrovascular events). Doppler ultrasound, contrast-enhanced computed tomography, and conventional angiography are the main diagnostic tools. Primary closure, including graft interposition, has been described as a surgical therapeutic option. An endovascular approach with placement of a covered or bare metal stent is an alternative treatment method to surgery.

Keywords: Carotid artery, death; endovascular treatment; pseudoaneurysm.

How to cite this article
Ahmet Güner, Selçuk Pala, Sabahattin Gündüz, Şeyhmus Külahçıoğlu, Ezgi Gültekin Güner. Pseudoaneurysm after carotid stenting: A case report and review of the literature. Turk Kardiyol Dern Ars. 2020; 48(6): 613-618

Corresponding Author: Ahmet Güner, Türkiye
© Copyright 2020 Archives of the Turkish Society of Cardiology
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