AJDRAJNR - American Journal of Neuroradiology

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Case Report
INTERVENTIONAL

Direct Percutaneous Puncture of a Cervical Internal Carotid Artery Aneurysm for Coil Placement after Previous Incomplete Stent-Assisted Endovascular Treatment

Turgut Berkmena,b, Neil Troffkina,b and Ajay K. Wakhlooa,b

a Section of Neuroendovascular Surgery and Interventional Neuroradiology, University of Miami School of Medicine, Miami, FL
b Departments of Radiology and Neurological Surgery, University of Miami School of Medicine, Miami, FL

Summary: Direct percutaneous puncture for coil placement has been described for visceral aneurysms, but the procedure has not been previously reported for aneurysms of the head and neck. We report a case in which stent-assisted endovascular treatment was successfully combined with direct puncture for additional coil placement to treat a symptomatic giant aneurysm of the cervical internal carotid artery.