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AJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology 25:827-829, May 2004
© 2004 American Society of Neuroradiology

Case Report
INTERVENTIONAL

Carotid Rupture during Stent-Assisted Aneurysm Treatment

Hajime Wada^a, Michel Piotin^a, Hervé Boissonnet^b, Laurent Spelle^a, Charbel Mounayer^a and Jacques Moret^a

^a Department of Interventional Neuroradiology, Fondation Rothschild, Paris, France
^b Department of Neurosurgery, Fondation Rothschild, Paris, France

Address correspondence and reprint requests to Jacques Moret, MD, Service de Neuroradiologie Interventionnelle, Fondation Rothschild, 25–29 rue Manin, 75940 Paris Cedex 19, France

Summary: We report the case of a supraclinoid carotid rupture during the delivery of a balloon-expandable stent in a 59-year-old patient with incidental paraclinoid berry aneurysms for whom stent-assisted coiling was planned. The deployment of the stent resulted in immediate rupture of the artery. We describe the emergent management of this complication with prolonged balloon inflation to occlude the site of rupture, a treatment that led to the discharge of the patient 2 weeks later without any sequelae.

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