Abstract
A 63-year-old female patient was diagnosed with a large saccular aneurysm of the petrous segment of the right internal carotid artery (ICA) and a severe manifestation of fibromuscular dysplasia (FMD) on the left ICA. The saccular aneurysm was partially coiled and covered with flow diverting stents. The left ICA was reconstructed with balloon angioplasty and flow diverter implantation. An incidental de novo aneurysm of the anterior communicating artery (AcomA) underwent coil occlusion. In-stent stenosis of the reconstructed left ICA prompted balloon angioplasty with a drug-coated balloon. The significance of FMD-associated aneurysms and their management and the significance and management of FMD-related arterial vessel wall pathology are the main topics of this chapter.
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Bhogal, P., Aguilar Pèrez, M., Sirakov, A., Bäzner, H., Henkes, H. (2020). Petrous Internal Carotid Artery Aneurysm: Endovascular Treatment with Coils and Flow Diverter Stents of a Large Petrous Internal Carotid Artery Aneurysm Associated with Full-Blown Fibromuscular Dysplasia, and Flow Diverter Reconstruction of the Contralateral Internal Carotid Artery, Followed by the Coil Occlusion of an Aneurysm of the Anterior Communicating Artery, and Balloon Angioplasty of a Left Internal Carotid Artery In-Stent Stenosis, with Good Clinical Outcome. In: Henkes, H., Lylyk, P., Ganslandt, O. (eds) The Aneurysm Casebook. Springer, Cham. https://doi.org/10.1007/978-3-319-70267-4_163-1
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DOI: https://doi.org/10.1007/978-3-319-70267-4_163-1
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