Endovascular repair for an extracranial internal carotid aneurysm with cervical access: A case report

BACKGROUND: Carotid aneurysms are a rare pathology. This vascular disorder can be asymptomatic or it can cause local compression. The disorder poses a high risk of embolization and rupture. PRESENTATION OF CASE: A 79 years old female, presents with a right internal carotid fusiform aneurysm, approximately 3.8 cm in diameter, localized 3.30 cm from the common carotid artery bifurcation with an extremely tortuous common carotid artery. DISCUSSION: Surgical management of the extracranial internal carotid artery remains varying and challenging, particularly with a distal internal carotid aneurysm and with anatomical difficulties. CONCLUSION: Endovascular management of an internal carotid aneurysm with cervical access using an expanded polytetrafluoroethylene covered stent with Heparin Bioactive Surface in the carotid area, is safe and effective.