Endovascular repair of symptomatic carotid artery aneurysm with covered stent: A case report and literature review

Objectives: Extracranial carotid artery true aneurysm is extremely uncommon, and definite treatment has traditionally involved open surgical repair. Although successful management of the internal carotid artery aneurysms using endovascular stenting and embolization has recently been reported, only a limited number of cases have been reported. Methods: We present a case of symptomatic carotid true aneurysm repaired with covered stent and coil embolization of the external carotid artery. We also review the English literature and discuss the epidemiology, causes, diagnosis, and management options of internal carotid artery aneurysms. Results: The patient did not have any complications, and was discharged home on the postoperative day 1 in stable condition. Conclusion: Our report suggests that endovascular procedure is feasible in the treatment of extracranial carotid artery aneurysms.