| Summary: | Transcervical endovascular management of saccular aneurysms of the extracranial internal carotid artery is an evolving treatment option. We report our experience during two decades in managing such a complex vascular scenario. Patients in this case series were symptomatic and had Eagle syndrome (elongated styloid processes in two cases and a calcified stylohyoid ligament in one case). All patients underwent endovascular stenting for expanding extracranial internal carotid artery saccular aneurysm using self-expandable covered stent grafts reinforced with a self-expanding nitinol stent. The approach was transcervical in all cases with cerebral protection by manual flow reversal. Keywords: Endovascular, Internal carotid, Saccular aneurysm, Flow reversal, Transcervical
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