Internal Carotid Artery Aneurysm: Large Cavernous Carotid Artery Aneurysm Causing Compression of the Internal Carotid Artery in a Young Woman with Ehlers-Danlos Syndrome with Segmental Dissections of the Carotid and Vertebral Arteries; Complete Reconstruction of the Internal Carotid Artery with Five Pipeline Embolization Devices; Complete Aneurysm Resolution and Good Clinical Outcome
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A 47-year-old female presented with intense headaches and oculomotor, trochlear, and abducens nerve palsy. A dissecting internal carotid artery (ICA) cavernous aneurysm associated with a dissection of the left proximal M1 segment from the proximal segment of the left ICA as well as segmental dissections of the right-hand ICA and both vertebral arteries was found. The cavernous ICA aneurysm associated with the dissection of the left ICA was treated by the endovascular implantation of five Pipeline Embolization Device (PED) flow diverters with good angiographic and clinical outcome. Placing flow diverter stents in a dissected artery allows the lacerated vessel segment to reconstruct. Vascular Ehlers-Danlos syndrome and its cerebrovascular complications is the main topic of this chapter, together with using flow diversion to treat dissected vessel segments in an acute setting.
KeywordsInternal carotid artery Flow diverter Ehlers-Danlos syndrome Telescoping flow diverters Carotid cavernous aneurysm Carotid artery dissection
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