Traumatische Dissektion der linken Arteria carotis interna durch stumpfes Trauma: Behandlung mittels endovaskulärer Stent-Versorgung

Zusammenfassung

Symptomatische Dissektionen der extrakraniellen Art. carotis interna nach stumpfem Trauma sind selten. Die medikamentöse Behandlung dieser Verletzungen ist häufig nicht effektiv, die chirurgische Therapie weist eine hohe Morbidität auf. Wir stellen den Fall einer erfolgreichen endovaskulären Behandlung einer traumatischen Dissektion der extrakraniellen Art. carotis interna mittels eines selbst-expandierenden Stents vor. Die Vorteile des endovaskulären Vorgehens werden dargestellt und die aktuelle Literatur zur stumpfen Verletzung der Art. carotis interna und ihre Behandlungskonzepte diskutiert.

Abstract

Symptomatic dissecting aneurysms of the extracranial internal carotid artery after blunt trauma are not frequent. Medical treatment of these lesions can be ineffective and surgical options present high morbidity. We describe a case successfully treated with endovascular therapy, using a self-expanding stent. The advantages of the endovascular treatment are outlined, the literature on carotid artery injuries by blunt trauma and management strategies are reviewed.

Art. carotis interna - stumpfes Trauma - endovaskuläre Behandlung

Internal carotid artery - blunt trauma - endovascular treatment

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