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KMID : 1001920110500010048
Journal of Korean Neurosurgical Society
2011 Volume.50 No. 1 p.48 ~ p.50
Endovascular Treatment Using Graft-Stent for Pseudoaneurysm of the Cavernous Internal Carotid Artery
Ko Jun-Kyeung

Lee Tae-Hong
Lee Jae-Il
Choi Chang-Hwa
Abstract
A 57-year-old man presented with a 2-day history of left oculomotor palsy. Digital subtraction angiography revealed a pseudoaneurysm of the left cavernous internal carotid artery (ICA) measuring 37¡¿32 mm. The pseudoaneurysm was treated with a balloon expandable graft-stent to occlude the aneurysmal neck and preserve the parent artery. A post-procedure angiogram confirmed normal patency of the ICA and complete sealing of the aneurysmal neck with no opacification of the sac. After the procedure, the oculomotor palsy improved gradually, and had completely resolved 3 months after the procedure. A graft-stent can be an effective treatment for a pseudoaneurysm of the cavernous ICA with preservation of the parent artery.
KEYWORD
Internal carotid artery, Pseudoaneurysm, Graft-stent, Oculomotor palsy
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