Combined open and endovascular treatment of a saccular aneurysm and redundant loop of the internal carotid artery

Magdiel Trinidad-Hernández, Joseph H. Introcaso, John V. White

Research output: Contribution to journalArticle

12 Scopus citations


We report the unusual case of a woman with a saccular aneurysm of the distal cervical internal carotid artery arising just distal to a kink and a 360° redundant loop. The retromandibular position of the aneurysm would have mandated a complex surgical procedure. A purely endovascular approach was not possible owing to the difficulty to pass any kind of device beyond the redundant loop. A hybrid approach, in which the kink was surgically straightened and the saccular aneurysm coiled after stenting of its orifice, was therefore used to treat this challenging case. A review of the literature supporting this approach is discussed.

Original languageEnglish (US)
Pages (from-to)642-646
Number of pages5
JournalJournal of vascular surgery
Issue number3
StatePublished - Sep 1 2006


ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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