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Endovascular treatment of post-pharyngitis internal carotid artery pseudoaneurysm with a covered stent in a child: a case report

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Abstract

Case report

We report a case of 4-year-old boy patient, who developed after a streptococcal pharyngitis a painful, pulsatile, and growing right-sided mass in the neck. Imaging studies revealed an extracranial right internal carotid artery pseudoaneurysm. The patient was successfully treated with stent-graft deployment. After 18 months of follow-up, the pseudoaneurysm is excluded from the circulation, the carotid artery is patent, and the patient is free from any neurological deficit.

Discussion

Covered stents might be considered as a valid therapeutic option to treat carotid artery pseudoaneurysms.

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References

  1. Agid R, Simons M, Casaubon L, Sniderman K (2012) Salvage of the carotid artery with covered stent after perforation with dialysis sheath. A case report. Interv Neuroradiol 18:386–390

    PubMed  CAS  Google Scholar 

  2. Alaraj A, Wallace A, Amin-Hanjani S, Charbel F, Aletich V (2011) Endovascular implantation of covered stents in the extracranial carotid and vertebral arteries: cases series and review of the literature. Surg Neurol Int 2:67

    Article  PubMed  Google Scholar 

  3. Beale P (1971) Late development of a false aneurysm of the common carotid artery. Br J Surg 58:76–78

    Article  PubMed  CAS  Google Scholar 

  4. Beena M, Kshore M, Mahale A, Vinaya P (2007) Pseudoaneurysm of internal carotid artery. Indian J Pediatr 74(3):307–309

    Article  PubMed  CAS  Google Scholar 

  5. Beningfield A, Nehus E, Chen A, Yellin S (2006) Pseudoaneurysm of the internal carotid artery after retropharyngeal abscess. Otolaryngol Head Neck Surg 134:338–339

    Article  PubMed  Google Scholar 

  6. Briganti F, Cirillo S, Caranci F, Esposito F, Maiuri F (2002) Development of “de novo” aneurysms following endovascular procedures. Neuroradiology 44(7):604–609

    Article  PubMed  CAS  Google Scholar 

  7. Da Silva P, Waisberg D (2011) Internal carotid artery pseudoaneurysm with life-threatening epistaxis as a complication of deep neck space infection. Pediatr Emer Care 27:422–424

    Article  Google Scholar 

  8. Fleischer A, Guthkelch A (1987) Management of high cervical intracranial internal carotid artery traumatic aneurysms. J Trauma 27:330–332

    Article  PubMed  CAS  Google Scholar 

  9. Fujioka M, Takahata H (2011) Two cases of emergent endovascular treatment for carotid blowout syndrome after free flap reconstruction for neck cancer. J Craniomaxillofac Surg 39(5):372–375

    Article  PubMed  Google Scholar 

  10. Garcia Monaco R, Kohan A, Martinez-Corvalán M, Cacchiarelli N, Peralta o, Wahren C (2012) Thrombin Injection Failure with Subsequent Succesful Stent-Graft Placement for the Treatment of an Extracranial Internal Carotid Pseudoaneurysm in a 5-Year-Old Child. Cardiovasc Intervent Radiol 35(3):704-8. doi:10.1007/s00270-011-0246-3

  11. Garino JP, Ryan TJ (1987) Carotid hemorrhage: a complication of peritonsillar abscess. Am J Emerg Med 5:220–223

    Article  PubMed  CAS  Google Scholar 

  12. Gralla J, Brekenfeld C, Schmidli J, Caversaccio M, Do DD, Schroth G (2004) Internal carotid artery aneurysm with life-threatening hemorrhages in a pediatric patient: endovascular treatment options. J Endovasc Ther 11:734–738

    Article  PubMed  Google Scholar 

  13. Gupta V, Niranjan K, Lokesh Rawat L (2009) Stent-graft repair of a large cervical internal carotid artery pseudoaneurysm causing dysphagia. Cardiovasc Intervent Radiol 32:558–562

    Article  PubMed  Google Scholar 

  14. Hart RG, Easton JD (1983) Dissection of cervical and cerebral arteries. Neurol Clin 1:155–182

    PubMed  CAS  Google Scholar 

  15. Hayashi Y, Shima H, Miyashita K, Kinoshita M, Nakada M, Kida S, Hamada J (2008) Unusual angiographic changes in an internal carotid artery pseudoaneurysm after infection in the deep neck space. Neurol Med Chir (Tokyo) 48(5):216–219

    Article  Google Scholar 

  16. Jebara VA, Acar C, Dervanian P, Chachques JC, Bischoff N, Uva M (1991) Mycotic aneurysms of the carotid arteries-case report and review of the literature. J Vasc Surg 14:215–219

    Article  PubMed  CAS  Google Scholar 

  17. Larson J, Tew J, Tomsick T, van Loveren H (1995) Treatment of aneurysms of the internal carotid artery by intravascular balloon occlusion: long-term follow-up of 58 patients. Neurosurgery 36(1):23–30

    Article  Google Scholar 

  18. Layton K, Kim Y, Hise J (2004) Use of covered stent grafts in the extracranial carotid artery: report of three patients with follow-up between 8 and 42 months. AJNR Am J Neuroradiol 25:1760–1763

    PubMed  Google Scholar 

  19. Lim SP, Duddy MJ (2008) Endovascular treatment of a carotid dissecting pseudoaneurysm in a patient with Ehlers–Danlos syndrome type IV with fatal outcome. Cardiovasc Interv Radiol 31(1):201–204

    Article  CAS  Google Scholar 

  20. Marotta T, Buller C, Taylor D, Morris C, Zwimpfer T (1998) Autologous vein-covered stent repair of a cervical internal carotid artery pseudoaneurysm: Technical Case Report. Neurosurgery 42:408–412

    Article  PubMed  CAS  Google Scholar 

  21. Meisel HJ, Mansmann U, Alvarez H, Rodesh G, Brock M, Lasjaunias P (2000) Cerebral arteriovenous malformations and associated aneurysms: analysis of 305 cases from a series of 662 patients. Neurosurgery 46:793–800

    PubMed  CAS  Google Scholar 

  22. Mukherjee D, Roffi M, Yadav JS (2002) Endovascular treatment of carotid artery aneurysms with stent grafts. J Invas Cardiol 14(5):269–272

    Google Scholar 

  23. Nader R, Mohr G, Sheiner NM, Tampieri D, Mendelson J, Albrecht S (2001) Mycotic aneurysm of the carotid bifurcation in the neck: case report and review of the literature. Neurosurgery 48:1152–1156

    Article  PubMed  CAS  Google Scholar 

  24. Origitano T, Al-Mefty O, Leonetti J, DeMonte F, Reichman O (1994) Vascular considerations and complications in cranial base surgery. Neurosurgery 35(3):351–362, discussion 362–3

    Article  PubMed  CAS  Google Scholar 

  25. Pulges T, Ellervee K, Varik V, Järv V, Leht M, Kutman I, Põder P (2004) Operative treatment of a pseudoaneurysm of the internal carotid artery in a 9 year old boy. EJVES Extra 8(2):39–41

    Article  Google Scholar 

  26. Reisner A, Marshall GS, Bryant K, Postel GC, Eberly S (1999) Endovascular occlusion of a carotid pseudoaneurysm complicating deep neck space infection in a child. J Neurosurg 91:510–514

    Article  PubMed  CAS  Google Scholar 

  27. Sato S, Nakayama Y, Miura Y, Okamoto Y, Asano H (2007) Development of self-expandable covered stents. J Biomed Mater Res B Appl Biomater 83B(2):345–353

    Article  CAS  Google Scholar 

  28. Scavee V, De Wispelaere J-F, Mormont E, Coulier B, Trigaux JP, Schoevaerdts J (2001) Pseudoaneurysm of the internal carotid artery: treatment with a covered stent. Cardiovasc Interv Radiol 24(4):283–285

    Article  CAS  Google Scholar 

  29. Smith TP, Alexander MJ, Enterline DS (2003) Delayed stenosis following placement of a polyethylene terephthalate endograft in the cervical carotid artery: report of three cases. J Neurosurg 98:421–425

    Article  PubMed  Google Scholar 

  30. Tanaka H, Patel U, David A, Shrier D, Coniglio J (1998) Pseudoaneurysm of the petrous internal carotid artery after skull base infection and prevertebral abscess drainage. AJNR 19:502–504

    PubMed  CAS  Google Scholar 

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Correspondence to Flavio Requejo.

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Requejo, F., Sierre, S., Lipsich, J. et al. Endovascular treatment of post-pharyngitis internal carotid artery pseudoaneurysm with a covered stent in a child: a case report. Childs Nerv Syst 29, 1369–1373 (2013). https://doi.org/10.1007/s00381-013-2083-y

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  • DOI: https://doi.org/10.1007/s00381-013-2083-y

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