Abstract
Stenting may be effective for the treatment of traumatic pseudoaneurysms of the common carotid artery, but the few case reports utilized various procedures. A 78-year-old man fell from a stepladder, and the pruning shears in use penetrated the right side of the neck. Active bleeding from the open wound was controlled with compression. Computed tomography with contrast medium on admission revealed pseudoaneurysms of the common carotid artery, which gradually enlarged over 4 days. Coil embolization of the pseudoaneurysms assisted with three carotid artery stents was performed, which resulted in almost total disappearance of the pseudoaneurysms. The patient was discharged home with no neurological deficit. Follow-up neuroimaging revealed no recurrence of the pseudoaneurysms, and the patient was discharged with modified Rankin Scale score 0. Endovascular stenting and coiling is one of the most effective treatments for traumatic pseudoaneurysm of the common carotid artery, despite various problems such as administration of antithrombotic drugs, rebleeding, and retreatment.
