Overlapped Stenting for Treatment of an Extracranial Carotid Artery Aneurysm

Tsuji, Kiyoshi; Fukawa, Norihito; Nakagawa, Nobuhiro; Yabuuchi, Tomonari; Nakano, Nobuaki; Kato, Aitaro

doi:10.2176/nmccrj.cr.2014-0432

Cited by 2 publications

(8 citation statements)

References 14 publications

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“…All included studies were case reports (n = 46) or case series (n = 21 single center; n = 1 multicenter). 11,13,15 -80 Overall, 162 patients underwent endovascular repair with stenting for either true or false ECAA. One study comprised 3 patients who underwent endovascular reconstruction with a flow-diverting pipeline embolization device.…”

Section: Resultsmentioning

confidence: 99%

Εndovascular Repair of Extracranial Carotid Artery Aneurysms: A Systematic Review

Giannopoulos

Trinidad

Aronow

et al. 2020

Vasc Endovascular Surg

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Objective: Both true and false extracranial carotid artery aneurysms (ECAA) are a potential source of morbidity and mortality. While ECAA have historically been treated surgically, endovascular reconstruction with stenting is an emerging treatment option. The aim of our study was to report clinical/radiologic outcomes following endovascular repair of ECAAs. Methods: A comprehensive systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines. Results: A total of 68 case reports and case series, comprising 162 patients, were included. Most patients presented with at least one symptom or sign related to the ECAA (89.5%; N = 145/162). In 42.6% (N = 69/162) and 46.3% (N = 75/162) of the cases polytetrafluoroethylene covered and uncovered stents were deployed respectively. Immediate post-procedural imaging demonstrated complete aneurysm exclusion in 86.4% (N = 140/162) of the cases and minimal filling of the aneurysm sack in 10.5% (N = 17/162) of all cases. Perioperative adverse event rates were 3.1% for stroke, 1.2% for transient ischemic attack (TIA) and 4.3% for mortality. During a mean follow-up of 21.8months, there were additionally observed one stroke, two TIAs and three deaths. Overall 88.6 % of the patients (N = 117/132) remained asymptomatic, partially recovered or at least did not suffer from new neurologic deficits during follow up, with no signs of stenosis or occlusion of the carotid artery. Conclusions: Endovascular stenting for the treatment of ECAAs is feasible with acceptable short- and long-term clinical and radiologic outcomes. Prospective real-world studies are needed to further validate the safety and the long-term patency of endovascular repair.

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Section: Resultsmentioning

confidence: 99%

Εndovascular Repair of Extracranial Carotid Artery Aneurysms: A Systematic Review

Giannopoulos

Trinidad

Aronow

et al. 2020

Vasc Endovascular Surg

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“…Most patients with an EICAA present with a pulsatile swelling in the neck but may also have symptoms including cerebral ischemic symptoms due to embolization from an intra-aneurysmal thrombus, lower cranial nerve palsies (XII, IX, X, XI in order of most to least commonly affected cranial nerves), Horner’s syndrome, or local airway compression. 2,4 Aneurysm rupture is relatively uncommon. 2…”

Section: Discussionmentioning

confidence: 99%

“…In recent years, advances have resulted in increasing endovascular approach, with both covered and bare metal stents, and coils. 2,5,7 However, large series are required to establish the safety and efficacy of these procedures. 3 Treatment options must, therefore, be carefully considered based on both patient and aneurysm characteristics.…”

Section: Discussionmentioning

confidence: 99%

“…3 Treatment options must, therefore, be carefully considered based on both patient and aneurysm characteristics. 2…”

Section: Discussionmentioning

confidence: 99%

“…Isolated EICAAs are very rare and have been reported to account for only about .4-4% of all peripheral artery aneurysms and only .1-2% of all carotid artery procedures done for aneurysms. [1][2][3] Extracranial internal carotid artery aneurysms (EICAAs) are defined as carotid bulb dilations greater than 200% of Internal Carotid Artery (ICA) diameter or 150% of the Common Carotid Artery (CCA) diameter. 1 We present a case of a pregnancy-related EICAA in a female patient; to our knowledge, this is the first case being reported of a true EI-CAA during pregnancy in a multiparous woman.…”

Section: Introductionmentioning

confidence: 99%

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Extracranial Internal Carotid Artery Aneurysm in Pregnancy

Prakash

Wong

Chan

et al. 2022

Vasc Endovascular Surg

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Isolated extracranial internal carotid artery aneurysms (EICAAs) are rare, accounting for only about .4–4% of all peripheral artery aneurysms. We present a case of an EICAA in a young pregnant patient. To our knowledge, this is the first case being reported of a true EICAA during pregnancy in a multiparous woman. A 25-year-old pregnant patient presented with a pulsatile left neck swelling. Radiological investigations and subsequent surgery during the first trimester confirmed a true saccular left ICA with a maximum diameter of 3.5 cm. She was treated with aneurysm excision and primary anastomosis. She did not have any underlying diseases predisposing to an EICAA. She has been well for 3 years post procedure. It has been postulated that pregnancy could lead to aneurysm development through multiple mechanisms, including hemodynamic, hormonal, and other physiologic changes of pregnancy. Aggressive treatment with surgical intervention is advocated because of the risk of cerebral ischemic complications associated with non-operative treatment, and because satisfactory long-term outcomes can be achieved from surgery.

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Overlapped Stenting for Treatment of an Extracranial Carotid Artery Aneurysm

Cited by 2 publications

References 14 publications

Εndovascular Repair of Extracranial Carotid Artery Aneurysms: A Systematic Review

Εndovascular Repair of Extracranial Carotid Artery Aneurysms: A Systematic Review

Extracranial Internal Carotid Artery Aneurysm in Pregnancy

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