Use of intravascular stents in the treatment of internal carotid and extracranial vertebral artery pseudoaneurysms

The management of extracranial carotid or vertebral artery pseudoaneurysms is controversial. Although some of these lesions resolve spontaneously, many clinicians opt to treat them with trapping procedures that result in vessel sacrifice. We describe two cases in which an intravascular stent was used to obliterate an aneurysm of the extracranial vertebral artery and the internal carotid artery, respectively, while maintaining the patency of the parent vessel. This technique, which has been successful in experimental animal models, shows promise for application in humans.