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KMID : 1155820140090010050
Neurointervention
2014 Volume.9 No. 1 p.50 ~ p.52
Conjoined Stent Technique for Radiation Induced Long Segment Carotid Stenosis and Pseudoaneurysm
Vajpayee Atulabh

Goyal Gourav
Kant Rama
Abstract
Radiation induced carotid stenosis (RICS) is known but challenging complication of head and neck irradiation. Endovascular revascularization is preferred treatment modality than surgical revascularization. Sometimes endovascular treatment may be difficult in view of long segment of stenosis and associated pseudoaneurysm. We report a unique technique of carotid stenting named as "conjoined stent technique" in a challenging case of RICS with long segment of stenosis and pseudoaneurysm. In this technique we overlapped distal end of one stent with proximal end of second stent to occlude pseudoaneurysm. "Conjoined stent technique" may be viable option in case of long segment of RICS with associated pseudoaneurysm and alternative to flow diverters in extracranial carotid pseudoaneurysm.
KEYWORD
Radiation injuries, Pseudoaneurysm, carotid, Conjoined stent, Carotid stenosis/therapy
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