Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Feb 16, 2022; 10(5): 1602-1608
Published online Feb 16, 2022. doi: 10.12998/wjcc.v10.i5.1602
Treatment of extracranial internal carotid artery dissecting aneurysm with SUPERA stent implantation: Two case reports
Min-Jian Qiu, Bao-Rong Zhang, Shui-Jiang Song
Min-Jian Qiu, Bao-Rong Zhang, Shui-Jiang Song, Department of Neurology, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, Zhejiang Province, China
Author contributions: Qiu MJ conceived and coordinated the study, performed and analyzed the experiments, wrote the paper; Zhang BR and Song SJ carried out the data collection, data analysis, and revised the paper; all authors have read and approve the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Min-Jian Qiu, MD, Doctor, Department of Neurology, The Second Affiliated Hospital of Zhejiang University School of Medicine, Department of Neurology, Hangzhou 310009, Zhejiang Province, China. 3196011@zju.edu.cn
Received: July 16, 2021
Peer-review started: July 16, 2021
First decision: October 18, 2021
Revised: October 26, 2021
Accepted: January 8, 2022
Article in press: January 8, 2022
Published online: February 16, 2022
Processing time: 210 Days and 4 Hours
Abstract
BACKGROUND

There is no standard endovascular treatment for extracranial internal carotid artery dissecting aneurysms. In the past, stent-graft isolation and stent-assisted coil embolization were commonly used for wide-necked and fusiform aneurysms. Here, we present two cases of extracranial internal carotid artery dissecting aneurysms treated successfully using the SUPERA stent.

CASE SUMMARY

Case 1 was a 57-year-old male patient with sudden right limb weakness and vague speech and diagnosed with cerebral infarction in February 2019. Cervical computed tomographic angiography (CTA) revealed left internal carotid artery dissection with stenosis. CTA at 2 mo showed an eccentric wide-necked dissecting aneurysm (5 mm × 5 mm × 12 mm, 10-mm neck) that was enlarged at 4 mo (7 mm × 6 mm × 12 mm, 11-mm neck). The patient underwent SUPERA stent implantation. His condition was stable in July 2020. Case 2 was a 57-year-old man who suddenly felt dizzy and developed unsteady walking in November 2019. Cervical CTA suggested right internal carotid artery dissecting aneurysm (11 mm × 9 mm × 31 mm) complicated with severe lumen stenosis (95%). The patient underwent SUPERA stent implantation. The patient had no residual symptoms and was stable in December 2020.

CONCLUSION

SUPERA stent implantation might achieve good results in treating wide-necked or long fusiform internal carotid artery dissecting aneurysms.

Keywords: Extracranial; Internal carotid artery; Dissecting aneurysm; Stent; Case report

Core Tip: There is no standard endovascular treatment for extracranial internal carotid artery dissecting aneurysms. Stent-graft isolation and stent-assisted coil embolization are commonly used for wide-necked and fusiform aneurysms, but safety and effectiveness can be unsatisfactory. The SUPERA stent is a braided metal stent especially designed for arterial stenosis of the lower extremities. Here, we present two cases of extracranial internal carotid artery dissecting aneurysms treated successfully using the SUPERA stent. Hence, SUPERA stent implantation might achieve good results in treating wide-necked or long fusiform internal carotid artery dissecting aneurysms.