Transcarotid Artery Revascularization for Carotid Pseudoaneurysm and Patch Degeneration After Carotid Endarterectomy

Overview

Journal J Vasc Surg Cases Innov Tech

Date 2023 Oct 2

PMID 37781417

Authors

Roberto G Aru

Christopher J Abularrage

Affiliations

Soon will be listed here.

Abstract

An 86-year-old man with a history of right internal carotid artery occlusion and two remote left carotid endarterectomies presented with a contained posterior rupture of a carotid pseudoaneurysm. The infectious workup was negative. He underwent transcarotid artery revascularization, including external carotid artery coil embolization and exclusion of the carotid aneurysm with a self-expandable stent graft. He was discharged home on postoperative day 1 with his home antiplatelet and anticoagulant therapy. The 3-month postoperative imaging study demonstrated a widely patent carotid stent without an endoleak. Transcarotid artery revascularization is a viable alternative to open repair or transfemoral stenting for carotid artery aneurysms.

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