CC BY 4.0 · J Neuroanaesth Crit Care
DOI: 10.1055/s-0044-1782504
Case Report

Postimplantation Syndrome after Traumatic Internal Carotid Artery Pseudoaneurysm Repair with Stent

1   Department of Anaesthesia and Intensive Care, A.O.U. “San Giovanni di Dio e Ruggi d'Aragona”, Salerno, Italy
,
Antonella Langone
1   Department of Anaesthesia and Intensive Care, A.O.U. “San Giovanni di Dio e Ruggi d'Aragona”, Salerno, Italy
,
Veronica Vicinanza
1   Department of Anaesthesia and Intensive Care, A.O.U. “San Giovanni di Dio e Ruggi d'Aragona”, Salerno, Italy
,
Renato Gammaldi
1   Department of Anaesthesia and Intensive Care, A.O.U. “San Giovanni di Dio e Ruggi d'Aragona”, Salerno, Italy
› Author Affiliations

Abstract

Endovascular repair of traumatic internal carotid artery pseudoaneurysm (TICAP) with covered stents represents a safe treatment with few complications. However, the presence of foreign material used to treat TICAP and blood clots in the excluded pseudoaneurysms can trigger an acute systemic inflammatory response syndrome called postimplantation syndrome (PIS). To the best of our knowledge, PIS is described only after abdominal aortic endovascular aneurysm repair. Here, we report the case of PIS in a young, healthy, polytraumatized female patient with TICAP treated with endovascular covered stent.



Publication History

Article published online:
02 May 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Miller PR, Fabian TC, Croce MA. et al. Prospective screening for blunt cerebrovascular injuries: analysis of diagnostic modalities and outcomes. Ann Surg 2002; 236 (03) 386-393 , discussion 393–395
  • 2 Berne JD, Cook A, Rowe SA, Norwood SH. A multivariate logistic regression analysis of risk factors for blunt cerebrovascular injury. J Vasc Surg 2010; 51 (01) 57-64
  • 3 Ducrocq X, Lacour JC, Debouverie M, Bracard S, Girard F, Weber M. [Cerebral ischemic accidents in young subjects. A prospective study of 296 patients aged 16 to 45 years]. Rev Neurol (Paris) 1999; 155 (08) 575-582
  • 4 Spanos K, Karathanos C, Stamoulis K, Giannoukas AD. Endovascular treatment of traumatic internal carotid artery pseudoaneurysm. Injury 2016; 47 (02) 307-312
  • 5 Martinelli O, Di Girolamo A, Belli C. et al. Incidence of post-implantation syndrome with different endovascular aortic aneurysm repair modalities and devices and related etiopathogenetic implications. Ann Vasc Surg 2020; 63: 155-161
  • 6 Senkulak T, Oberhuber A, Yordanov M, Rukosujew A, Ibrahim A. Fever management after TEVAR in patients with aortic dissection. Zentralbl Chir 2022;•••
  • 7 Seppä AMJ, Skrifvars MB, Pekkarinen PT. Inflammatory response after out-of-hospital cardiac arrest-impact on outcome and organ failure development. Acta Anaesthesiol Scand 2023; 67 (09) 1273-1287
  • 8 Sathe PM, Patwa UDD. D Dimer in acute care. Int J Crit Illn Inj Sci 2014; 4 (03) 229-232
  • 9 Spanos K, Karathanos C, Giannoukas AD. Redefining the pathophysiology of post-implantation syndrome after endovascular aortic aneurysm repair. Vascular 2017; 25 (01) 110
  • 10 Bradley NA, Roxburgh C, Khan F, Guthrie G. Postimplantation syndrome in endovascular aortic aneurysm repair - a systematic review. Vasa 2021; 50 (03) 174-185
  • 11 Voûte MT, Bastos Gonçalves FM, van de Luijtgaarden KM. et al. Stent graft composition plays a material role in the postimplantation syndrome. J Vasc Surg 2012; 56 (06) 1503-1509
  • 12 Arnaoutoglou E, Kouvelos G, Milionis H. et al. Post-implantation syndrome following endovascular abdominal aortic aneurysm repair: preliminary data. Interact Cardiovasc Thorac Surg 2011; 12 (04) 609-614
  • 13 Maleckis K, Anttila E, Aylward P. et al. Nitinol stents in the femoropopliteal artery: a mechanical perspective on material, design, and performance. Ann Biomed Eng 2018; 46 (05) 684-704