AJDRAJNR - American Journal of Neuroradiology

Publication Preview: Published July 10, 2008
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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, T. Mori and H. Tajiri

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.