Case Report

Endovascular stenting of traumatic extracranial carotid artery dissections in the pediatric population: a case report

Joshua J Chern¹ , Roukoz B Chamoun² , Michel E Mawad¹ , William E Whitehead¹ , Daniel J Curry¹ , Thomas G Luerssen¹ and Andrew Jea¹

¹  Division of Pediatric Neurosurgery, Department of Neurosurgery, Texas Children's Hospital, Baylor College of Medicine, 6621 Fannin, Houston, Texas 77030, USA

²  Division of Neuroendovascular, Department of Radiology, Baylor College of Medicine, 6621 Fannin, Houston, Texas 77030, USA

author email corresponding author email

Cases Journal 2009, 2:171doi:10.1186/1757-1626-2-171

Published:	28 October 2009

Abstract

Background

Traumatic extracranial carotid artery injuries are rare in children. Treatment options include surgery, anticoagulation therapy and endovascular treatment. There have been only limited reports in the literature documenting endovascular carotid stent placement in the pediatric population. In these reports, stent deployment was utilized in the setting of pseudoaneurysm formation.

Case report

Here we report a case of endovascular carotid stenting for traumatic carotid dissection in a 15 year-old boy. An uncovered bare self-expanding stent was used to treat progressive high-grade stenosis in the early post-injury period.

Conclusion

At 6 months post-procedure, complete healing of the carotid artery was demonstrated on follow-up angiogram.