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Case Reports in Surgery
Volume 2016, Article ID 2656421, 4 pages
Case Report

Stent Graft-in-Stent Graft as a Rescue Technique for Endovascular Treatment of Giant Extracranial Internal Carotid Aneurysm

1Brazilian Society of Angiology and Vascular Surgery (SBACV), Belém, PA, Brazil
2Federal University of Pará (UFPA), Belém, PA, Brazil
3University Center of Pará State (CESUPA), Belém, PA, Brazil

Received 14 July 2016; Revised 2 September 2016; Accepted 5 September 2016

Academic Editor: Oded Olsha

Copyright © 2016 Adenauer Marinho de Oliveira Góes Junior and Salim Abdon Haber Jeha. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Endovascular treatment of a giant extracranial internal carotid aneurysm by a stent graft implantation was unsuccessful due to a high flow leak directly through the stent graft’s coating. The problem was solved deploying a second stent graft inside the previously implanted one resulting in complete exclusion of the aneurysmal sac and patent carotid lumen preservation. The review of the literature did not provide a case using this endovascular strategy. Follow-up for more than 12 months, using CT angiography, showed confirmed aneurysmal exclusion and carotid patency and no clinical complications have been detected.