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Case Reports in Vascular Medicine
Volume 2015, Article ID 427040, 4 pages
http://dx.doi.org/10.1155/2015/427040
Case Report

Endovascular Treatment of Posttraumatic Pseudoaneurysm of the Common Carotid Artery

Department of Vascular Surgery, La Paz University Hospital, 28046 Madrid, Spain

Received 4 January 2015; Accepted 24 March 2015

Academic Editor: Nikolaos Papanas

Copyright © 2015 Diego Rojas et al. 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.

Abstract

Carotid artery injuries with pseudoaneurysm are uncommon but associated with central neurologic dysfunction. We present a case of posttraumatic pseudoaneurysm of the right common carotid artery treated by implantation of a covered stent. A 44-year-old woman with multiple injuries after fall from height presents a small dissection flap of the right common carotid artery (RCCA) on the initial computed tomography angiography (CTA). Fifteen days later a 10 mm pseudoaneurysm is observed on control CTA. We decided endovascular treatment. Through right femoral access with a long introducer sheath placed in the innominate artery, we implanted a covered stent Advanta V12  mm in the RCCA. The patient was discharged from the hospital with antiplatelet therapy without any neurological dysfunction and complete exclusion of the pseudoaneurysm. Use of covered stents has emerged as a safe and effective alternative to surgical repair of carotid injuries.