Endovascular management of carotid artery stenosis secondary to sclerosing mediastinitis Academic Article uri icon


MeSH Major

  • Angioplasty, Balloon
  • Carotid Artery, Internal
  • Carotid Stenosis
  • Endovascular Procedures
  • Mediastinitis


  • Sclerosing mediastinitis is a rare, progressive condition characterized by extensive fibrotic reaction. We report the first known case of symptomatic, extrinsic compression of the carotid artery by fibrotic extension of sclerosing mediastinitis. A 54-year-old woman began experiencing neurologic symptoms from extension of a known mediastinal mass resulting in 70% to 79% stenosis of the right internal carotid artery. The stenosis was treated with endovascular stenting. Completion angiogram revealed a good result with <10% residual stenosis. At 18-month follow-up, the patient was symptom free without evidence of re-stenosis. Endovascular therapy provides a novel and durable solution in the midterm to this very rare problem.

publication date

  • August 2012



  • Academic Article



  • eng

Digital Object Identifier (DOI)

  • 10.1016/j.jvs.2012.01.058

PubMed ID

  • 22560235

Additional Document Info

start page

  • 492

end page

  • 5


  • 56


  • 2