False aneurysm of the internal carotid artery in Behcet's disease: successful combined endovascular treatment with stent and coils

Letters to the EditorFalse aneurysm of the internal carotid artery in Behc ¸et's through the wall of the stent.The implantation of 19 coils resulted in a dense packing of almost the entire disease: successful combined endovascular treatment with stent and coils aneurysm.Control angiograms showed that the normal calibre of the internal carotid artery had been restored S, A 47-yr-old woman, with a 7 yr history of Behc ¸et's and that the aneurysm remained occluded ( Fig. 2).disease, was admitted due to a disabling weakness in Renal and pulmonary angiographies did not identify her right arm.Behc ¸et's disease was identified following any further aneurysms.Treatment with acetylsalicylic a history of polyarthralgias, recurrent oral aphthous acid and colchicine was stopped, and treatment with ulcers, recurrent venous phlebitis and folliculitis.For azathioprine (100 mg/day) was started.Four years on, the last 7 yr, the patient has been successfully treated Behc ¸et's disease has not recurred.The angiographic and with acetylsalicylic acid (100 mg/day) and colchicine MRI controls indicate a stable stent position without (1 mg/day).At the time of admission, there was no any change in the small vertebral artery aneurysms and clinical or biological sign of evolution of the Behc ¸et's no new aneurysm.disease.Physical examination identified a left cervical Arterial aneurysms are a classical and severe complicamass; following an angiography and magnetic resonance tion of Behc ¸et's disease.These aneurysms, whose incidimaging (MRI ), this was shown to be a false aneurysm ence ranges from 2 to 6% [1, 2], are commonly located of the left internal carotid artery, 30 mm in diameter.in the abdominal aorta as well as in femoral or pulmon-This false aneurysm, located at the level of the C1 ary arteries.Aneurysms of internal carotid arteries are vertebra (Fig. 1), was accompanied by small aneurysms seldom reported [1, 2].Operative therapy is usually of the right cervical and left vertebral arteries.Its recommended for the management of arterial aneurysms localization precluded any surgical intervention due to since their rupture is the primary cause of death in the inaccessibility of the vessel at the base of the skull.patients with Behc ¸et's disease.In this case, we can report Therefore, the patient was treated by endovascular the long-term success of treatment by the endovascular placement of a metallic stent combined with the use of placement of a stent in the arterial aneurysm of a patient coils.The stent was placed at the level of the aneurysm.with Behc ¸et's disease.This new endovascular treatment A microcatheter was then introduced into the aneurysm F. 2. Control angiogram showing that the normal calibre of F. 1. Angiogram showing a false aneurysm and small aneur-the internal carotid artery had been restored and that the aneurysm remained occluded.ysms of the right cervical and left vertebral arteries.