J Neurol Surg A Cent Eur Neurosurg 2013; 74(S 01): e85-e88
DOI: 10.1055/s-0032-1322591
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Successful Endovascular Treatment of Carotid Aneurysms in a Patient with Vascular Ehlers-Danlos Syndrome

J. B. Chen
1   Department of Neurosurgery, West China Hospital, West China School of Medicine Sichuan University, Chengdu, Sichuan Province, China
,
H. Sun
1   Department of Neurosurgery, West China Hospital, West China School of Medicine Sichuan University, Chengdu, Sichuan Province, China
,
L. X. Zhou
1   Department of Neurosurgery, West China Hospital, West China School of Medicine Sichuan University, Chengdu, Sichuan Province, China
,
M. He
1   Department of Neurosurgery, West China Hospital, West China School of Medicine Sichuan University, Chengdu, Sichuan Province, China
,
Ding Lei
1   Department of Neurosurgery, West China Hospital, West China School of Medicine Sichuan University, Chengdu, Sichuan Province, China
› Author Affiliations
Further Information

Publication History

27 February 2012

28 April 2012

Publication Date:
30 July 2012 (online)

Abstract

Background Patients with vascular Ehlers-Danlos syndrome (EDS) can develop internal carotid artery (ICA) aneurysms. Any surgical procedure is hazardous and often unrewarding because of fragile blood vessels. Endovascular treatment may be an alternative approach to the treatment of ICA aneurysms in patients with vascular EDS.

Case A 23-year-old woman with vascular EDS developed a cervical right ICA aneurysm and a left petrous ICA aneurysm, which were successfully treated with endovascular interventions without major complications.

Conclusion This case report suggests that endovascular treatment of ICA aneurysms is feasible and can be achieved in patients with vascular EDS.

 
  • References

  • 1 Pepin M, Schwarze U, Superti-Furga A, Byers PH. Clinical and genetic features of Ehlers-Danlos syndrome type IV, the vascular type. N Engl J Med 2000; 342: 673-680
  • 2 De Paepe A, Malfait F. Bleeding and bruising in patients with Ehlers-Danlos syndrome and other collagen vascular disorders. Br J Haematol 2004; 127: 491-500
  • 3 Sugawara Y, Ban K, Imai K , et al. Successful coil embolization for spontaneous arterial rupture in association with Ehlers-Danlos syndrome type IV: report of a case. Surg Today 2004; 34: 94-96
  • 4 Scavée V, De Wispelaere JF, Mormont E, Coulier B, Trigaux JP, Schoevaerdts JC. Pseudoaneurysm of the internal carotid artery: treatment with a covered stent. Cardiovasc Intervent Radiol 2001; 24: 283-285
  • 5 Lim SP, Duddy MJ. Endovascular treatment of a carotid dissecting pseudoaneurysm in a patient with Ehlers-Danlos syndrome type IV with fatal outcome. Cardiovasc Intervent Radiol 2008; 31: 201-204
  • 6 Bashir Q, Thornton J, Alp S , et al. Carotid-cavernous fistula associated with Ehlers-Danlos syndrome type IV. A case report and review of literature. Interv Neuroradiol 1999; 5: 313-320
  • 7 Ferroli P, Ciceri E, Parati E, Minati L, Broggi G. Obliteration of a giant fusiform carotid terminus-M1 aneurysm after distal clip application and extracranial-intracranial bypass. Case report. J Neurosurg Sci 2007; 51: 71-76
  • 8 Ross IB, Weill A, Piotin M, Moret J. Endovascular treatment of distally located giant aneurysms. Neurosurgery 2000; 47: 1147-1152 , discussion 1152–1153
  • 9 Chen SF, Kato Y, Subramanian B , et al. Retrograde suction decompression assisted clipping of large and giant cerebral aneurysms: our experience. Minim Invasive Neurosurg 2011; 54: 1-4
  • 10 Schaafsma JD, Sprengers ME, van Rooij WJ , et al. Long-term recurrent subarachnoid hemorrhage after adequate coiling versus clipping of ruptured intracranial aneurysms. Stroke 2009; 40: 1758-1763