Results of Surgical Management of Internal Carotid Artery Aneurysm by the Cervical Approach

Coffin, Olivier; Maïza, D; Galateau-Sallé, Françoise; Martel, Bertrand; Vignon, C.; Neri, Eugénio; Derlon, Jean-Michel

doi:10.1007/s100169900079

Cited by 41 publications

(34 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These are due to slow blood flow in periarterial venous plexus and may simulate bilateral VA dissections. b Frontal projection of a two-dimensional (2D) phasecontrast magnetic resonance angiogram (MRA) shows normal VAs bilaterally (arrows) Various surgical methods have been employed in the treatment of ICA dissections, including ICA ligation or clipping, thromboendarterectomy and "patch" angioplasty as well as extracranial to intracranial bypass procedures [40, 85,86]. More recently, endovascular metallic stent insertion has been used in patients who have recurrent thromboembolic events [87].…”

Section: Treatmentmentioning

confidence: 99%

Carotid and vertebral artery dissections: clinical aspects, imaging features and endovascular treatment

2006

View full text Add to dashboard Cite

Extracranial arterial dissections are a recognised cause of stroke, particularly in young adults. Clinical diagnosis may be difficult, and the classical triad of symptoms is uncommon. Imaging plays a pivotal role in the diagnosis of extracranial arterial dissections, and this review provides a detailed discussion of the relative merits and limitations of currently available imaging modalities. Conventional arteriography has been the reference standard for demonstrating an intimal flap and double lumen, which are the hallmarks of a dissection, and for detecting complications such as stenosis, occlusion or pseudoaneurysm. Noninvasive vascular imaging methods, such as ultrasound (US), magnetic resonance angiography (MRA) and computed tomography angiography (CTA) are increasingly replacing conventional angiography for the diagnosis of carotid and vertebral dissections. Ultrasound provides dynamic and "real-time" information regarding blood flow. Source data of MRA and CTA and additional cross-sectional images can provide direct visualisation of the mural haematoma and information about the vessel lumen. Anticoagulation to prevent strokes is the mainstay of medical treatment, but randomised trials to define the optimal treatment regime are lacking. Surgery has a limited role in management of dissections, but endovascular procedures are gaining importance for treatment of complications and if medical management fails.

show abstract

Section: Treatmentmentioning

confidence: 99%

Carotid and vertebral artery dissections: clinical aspects, imaging features and endovascular treatment

2006

View full text Add to dashboard Cite

show abstract

“…Suture degeneration or infection after carotid endarterectomy and blunt or penetrating trauma to the cervical carotid artery were reported to produce false aneurysms. 2,5,7,20) Two of our cases (Cases 1 and 2) demonstrated atherosclerotic changes with intimal hyperplasia. In Case 2, dissection in media layer of the aneurysmal wall was observed.…”

Section: Discussionmentioning

confidence: 62%

Technical Options for the Surgical Management of Extracranial Carotid Artery Aneurysms

Yoneyama

Kawashima

Sugiura³

et al. 2012

Neurol. Med. Chir.(Tokyo)

View full text Add to dashboard Cite

Three cases of extracranial carotid artery (ECA) aneurysm were treated with various surgical options. Two female patients (74 and 37-year-old women) presented with pulsatile masses in their necks, which were confirmed as ECA aneurysms. Another 65-year-old woman presented with a calcified mass in her neck caused by an ECA aneurysm. The first case was treated with aneurysmorrhaphy with primary closure, the second with replacement of the involved site with vascular prosthesis, and the third with a high flow bypass with proximal ligation of the internal carotid artery. All three different surgical techniques were successful. ECA aneurysms are rare and require careful selection of the surgical method according to etiology, shape, and location of the ECA aneurysm. Proficiency in various vascular reconstruction techniques is a desirable prerequisite for the surgeon in-charge.

show abstract

“…12 In our patient, the aneurysm extension and the atherosclerotic lesions at the distal end of the aneurysm imposed certain techniques to facilitate aneurysm exposure. Some of them include mandible dislocation/subluxation, [13][14][15] division of the posterior digastric muscle belly, and removal or fracture of the styloid process. However, we preferred to perform a double mandibular osteotomy.…”

Section: Discussionmentioning

confidence: 99%

New exposure technique for management of giant internal carotid artery aneurysm

Ktenidis

Lioupis

Megalopoulos

et al. 2011

Journal of Vascular Surgery

View full text Add to dashboard Cite

We are presenting a case of giant internal carotid artery aneurysm (ICAA) managed by a new exposure technique. Following double mandibular osteotomy, the exposure of the entire aneurysm was achieved by mandible mobilization. The aneurysm repair was performed by resection and graft interposition. Mandible bone reconstruction was succeeded via mini plate osteosynthesis. No adverse events were noticed during the 24-month follow-up period. The surgical ICAA management is necessary to prevent severe complications. In cases of aneurysm extension to the skull base, double mandibular osteotomy is a safe technique that facilitates aneurysm exposure and control.

show abstract

Results of Surgical Management of Internal Carotid Artery Aneurysm by the Cervical Approach

Cited by 41 publications

References 20 publications

Carotid and vertebral artery dissections: clinical aspects, imaging features and endovascular treatment

Carotid and vertebral artery dissections: clinical aspects, imaging features and endovascular treatment

Technical Options for the Surgical Management of Extracranial Carotid Artery Aneurysms

New exposure technique for management of giant internal carotid artery aneurysm

Contact Info

Product

Resources

About