World Neurosurg 2018 Aug 28;116:e903-e912. Epub 2018 May 28.
Clinical Laboratory, The First Affiliated Hospital, Zhengzhou University, Zhengzhou, China.
Objective: To investigate the endovascular treatment (stenting with or without coiling) of cervical and intracranial lesions associated with internal carotid artery (ICA) redundancy.
Methods: Nine patients harboring 12 lesions of dissections, pseudoaneurysms, and aneurysms in the presence of ICA redundancy were treated using stent deployment with or without coiling. There were 8 female and 1 male patients with an age range of 31-89 years (mean, 55 years).
Results: Two patients with ICA dissections were treated with stenting alone while all the other pseudoaneurysms and aneurysms were managed with both stenting and coiling. Fourteen stents were deployed, and the success rate of stent deployment was 100%. All the lesions were successfully occluded with subtotal occlusion in 3 lesions and total occlusions in the remaining lesions. Mean follow-up was 7.3 months (range, 3-25 months), during which time the lesions remained occluded with patent stents. No symptoms existed at follow-up.
Conclusions: Vascular lesions related to the internal carotid artery redundancy can be successfully managed endovascularly, and the redundancy can no longer represent an obstacle in modern era with advanced techniques and materials.
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