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AJNR - American Journal of Neuroradiology

Published ahead of print on July 10, 2008
doi: 10.3174/ajnr.A1172

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American Journal of Neuroradiology 29:1948-1950, November-December 2008
© 2008 American Society of Neuroradiology

Case Report
INTERVENTIONAL

Successful Staged Endovascular Treatment of a Symptomatic Cervical Carotid Bifurcation Stenosis Coupled with a Coincidental Unruptured Cerebral Aneurysm in the Carotid Distal Segment

T. Iwata^a, T. Mori^a and H. Tajiri^a

^a From Shonan Kamakura General Hospital, Kamakura, Japan

Please address correspondence to Takahsia Mori, MD, PhD, Stroke Treatment, Shonan Kamakura General Hospital, 1202-l Yamazaki, Kamakura, 247-8533, Japan; e-mail: morit-koc{at}umin.net

SUMMARY: A 69-year-old woman had a symptomatic cervical carotid stenosis coupled with a coincidental unruptured cerebral aneurysm in the carotid distal segment. She underwent endovascular coiling for the aneurysm and then carotid stent placement (CAS) 1 month later. Both lesions were treated successfully and neither complications nor strokes occurred after the procedures. Staged endovascular treatment of coiling and subsequent CAS may be safe for patients with a cervical carotid stenosis coupled with cerebral aneurysms.