Staged endovascular treatment of left common carotid artery large aneurysm with Gore-Hemobahn stent-graft after right common carotid artery stenosis angioplasty.

We describe a patient with the coexistence of a stenosis and aneurysm of the carotid arteries and a past history of surgical aneurysmectomy. The patient had a 60% stenosis in the right common carotid artery associated with a fusiform aneurysm in the left one. A month after treating the right carotid stenosis with self-expanding stent, a Gore Hemobahn stent-graft was placed through the left carotid aneurysm. Endovascular treatment of carotid artery aneurysm by Hemobahn stent-graft seems to be a safe and an effective alternative to surgery in high surgical risk conditions.