• Elsa Faure, Ludovic Canaud, Charles Marty-Ané, and Pierre Alric.
• Department of Thoracic and Vascular Surgery, Arnaud de Villeneuve Hospital, Montpellier, France. elsafaure@hotmail.com
• Ann Vasc Surg. 2012 Nov 1;26(8):1129.e13-6.

AbstractThe management of traumatic injury of the common carotid artery has traditionally required a conventional surgical intervention, which is associated with a high mortality rate. Endovascular procedures might offer a less invasive alternative to treat these injuries, with a lower rate of mortality and morbidity. We report the case of a 30-year-old man who presented after penetrating injury due to a low-velocity gunshot wound to the neck. Angiography demonstrated a high-flow arteriovenous fistula and large false aneurysm of the common carotid artery. A self-expanding covered stent was placed across the injured portion of the artery, resulting in thrombosis of the aneurysm and preservation of the parent artery, without any significant complication. Covered stent placement is an alternative approach to treating carotid artery pseudoaneurysms associated with a jugular-carotid fistula.Copyright © 2012 Annals of Vascular Surgery Inc. Published by Elsevier Inc. All rights reserved.

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