Urgent Endovascular Covered-Stent Treatment of Internal Carotid Artery Injury Caused by a Gunshot

Selective arteriography of the right internal carotid artery. A pseudoaneurysm can be seen arising from the ICA in zone III, located 6mm before the carotid channel (thin arrow). The ICA was patent although there is a short anterograde dissection at the base of the skull (thick arrow). The ICA injury was done with a high velocity ballistic gunshot (6.35mm calibre handgun) (black arrow).

Pre-operative right ICA injection after deployment of a PTFE covered-stent. The pseudoaneurysm to the zone III in the neck has been completely excluded and the retropharyngeal bleeding has been stopped.