Surgical Treatment of Extracranial Internal Carotid Artery Aneurysm

Moreau, Patrick; Albat, Bernard; Thevenet, A

doi:10.1007/bf02133059

Cited by 111 publications

(69 citation statements)

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“…An aneurysm in a high cervical position such as the atlas and axis level is difficult to expose with a direct surgical treatment, and chances are high that hypostatic cranial nerve will be damaged. 11,13) Direct surgery for a giant carotid aneurysm in a high position which protrudes into the oral cavity is highly invasive and nearly impossible. Coil embolization of the aneurysm also presents difficult problems, such as escape of the coil from the aneurysm, distal embolization, and reopening due to coil compaction.…”

Section: Discussionmentioning

confidence: 99%

Giant Internal Carotid Artery Aneurysm Manifesting as Difficulty in Swallowing -Case Report-

Hanabusa

Nonoyama²,

Taki³

2010

Neurol. Med. Chir.(Tokyo)

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A 66-year-old man presented with a rare case of a giant aneurysm of the internal carotid artery manifesting as difficulty in swallowing, resulting in severe malnutrition. Initial examination found a pulsating mass protruding from the posterior wall of the pharynx in the oral cavity. The patient had left hemiplegia caused by cerebral infarction one year previously. The patient underwent surgical therapy consisting of superficial temporal artery-middle cerebral artery bypass and trapping of the internal carotid artery. The pulsation of the oral mass vanished just after surgery and his difficulty in swallowing gradually improved. The patient was discharged with no new neurological deficits. The previous cerebral infarction was probably caused by an embolus from this giant aneurysm.

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Section: Discussionmentioning

confidence: 99%

Giant Internal Carotid Artery Aneurysm Manifesting as Difficulty in Swallowing -Case Report-

Hanabusa

Nonoyama²,

Taki³

2010

Neurol. Med. Chir.(Tokyo)

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“…This is followed by the internal carotid artery (7). Two different researches, that had been carried out ten years after one another and took 25 years to complete, suggest that 1.9% of carotid reconstruction cases were due to carotid artery aneurysms (8,9). The most important cause of the internal carotid artery occlusion is atherosclerosis; there are various etiologic factors for aneurysms.…”

Section: Surgical Methodsmentioning

confidence: 99%

Surgical treatment of an extracranial internal carotid artery aneurysm: case report

2014

J Turgut Ozal Med Cent

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A sixty four year-old female patient was admitted to the hospital with complaints of pulsatile mass in her left cervical area for one year, which had abruptly augmented one month earlier. No cervical trauma or infection appeared to be present. There was a 3x4cm pulsatile mass in the left cervical angle of the mandible, which could be observed with vascular murmur. Tomographic angiography showed a saccular aneurysm of 32x30x25mm in diameter in the left ICA. Aneurysmal dilatation was resected and primarily repaired by end-to-end anastomosis. The postoperative recovery was uneventful. Histopathologic examination showed hyperplasia in artery wall, mucous degeneration, hyalinization, chronic inflammatory cell infiltration, and local calcification. The patient was doing well during the early followup period without complications. Key Words: Internal Carotid Artery; Aneurysm; Anastomosis; Surgical. Ekstrakranial İnternal Karotis Arter Anevrizmasında Cerrahi Tedavi: Bir Olgu SunumuÖzet Atmış dört yaşında bayan hasta, sol servikal bölgede bir yıldır var olan pulsatil kitle nedeniyle hastaneye başvurdu. Şikayetleri son bir aydır artan hastanın, servikal travma ya da enfeksiyon öyküsü yoktu. Mandibulanın sol servikal bölgesinde 3x4 cm' lik vasküler üfürüm alınan bir kitle gözlendi. Tomografik anjiografide, sol internal karotis arterde 32x30x25 mm' lik sakküler bir anevrizma olduğu görüldü. Anevrizma rezeke edilerek çıkartıldı ve internal karotis arterin proksimal ve distali uç uca anastomoz edildi. Postoperatif erken takiplerinde tam bir iyileşme gözlendi. Patolojik incelemede arter duvarında, fibropilazi, mukus dejenerasyonu, hiyalinizasyon, kronik inflamatuar hücre infiltrasyonu ve yerel kalsifikasyon gözlendi. İyileşme komplikasyon olmadan gerçekleşti.

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“…[12], эпизоды ишемических НМК наблюдались у 50% пациентов. Другие авторы [13,14] сообщили, что их частота составляет 43-74%, при-чем ТИА встречаются в 2 раза чаще.…”

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“…Со време-ни первой операции, выполненной A. Cooper [7] в 1805 г., лигирование сосуда было единственным ме-тодом хирургического лечения. Эти вмешательства сопровождались развитием большого инсульта или летальными исходами в 20-40% случаев [14,15]. В настоящее время в большинстве случаев выполня-ется резекция аневризмы ВСА с протезированием последней или формированием анастомоза конец в конец [1,2,4,11,[14][15][16].…”

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“…Эти вмешательства сопровождались развитием большого инсульта или летальными исходами в 20-40% случаев [14,15]. В настоящее время в большинстве случаев выполня-ется резекция аневризмы ВСА с протезированием последней или формированием анастомоза конец в конец [1,2,4,11,[14][15][16]. Проведение реконструк-тивной операции позволяет снизить развитие ОНМК и летальность до 4-10% [3,9].…”

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Surgical treatment of distal extracranial internal carotid artery aneurysms associated with pathological artery kinking

2016

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Оперативное лечение дистальных аневризм экстракраниального отдела внутренней сонной артерии, сочетающихся с ее патологической извитостью К.м.н. в.Э. ГУжиН, а.в. ДУБовой, а.в. череПаНов ФГБУ «Федеральный центр нейрохирургии» минздрава россии, Новосибирск, россия аневризмы экстракраниального отдела внутренней сонной артерии (вса), расположенные у входа в череп, являются редкой патологией. При данной патологии показано проведение хирургического вмешательства из-за опасности артерио-артериальной эмболии с развитием нарушения мозгового кровообращения. в отечественной и зарубежной литературе представлены единичные случаи или небольшие по числу наблюдений группы успешного хирургического лечения пациен-тов с дистально расположенными аневризмами внутренней сонной артерии в сочетании с ее патологической извитостью. открытое оперативное вмешательство при этой локализации аневризмы является сложным из-за травматичности доступа. Проведение эндоваскулярных вмешательств не всегда возможно из-за наличия дегенеративных изменений сосудистой стенки и патологической извитости артерии. Предложен вариант хирургического вмешательства по созданию экстраана-томического высокопотокового шунта между наружной сонной артерией и м2 сегментом среднемозговой артерии. Пред-ставлены результаты успешного применения данной методики у 3 пациентов с дистально расположенными аневризмами экстракраниального отдела внутренней сонной артерии в сочетании с ее патологической извитостью. Ключевые слова: патологическая извитость артерий, аневризма, внутренняя сонная артерия, высокопотоковый шунт. Surgical treatment of distal extracranial internal carotid artery aneurysms associated with pathological artery kinkingv.E. Guzhin, a.v. DuBovoY, a.v. chErEPanov Federal center of neurosurgery, novosibirsk, russia Extracranial internal carotid artery (ica) aneurysms located at the entrance of the skull are a rare pathology. Surgical treatment is indicated for this pathology because of the risk of arterio-arterial embolism and the development of cerebrovascular disease. the domestic and international literature reports single cases or small group cases of successful surgical treatment of patients with distal internal carotid artery aneurysms associated with pathological kinking of the artery. open surgery for aneurysms of this localization is complicated because of a high injury risk associated with the approach. Endovascular interventions are not always possible due to the presence of degenerative changes in the vascular wall and pathological artery kinking. We propose a surgical option for creating a high-flow ec-ic bypass between the external carotid artery and the m2 segment of the middle cerebral artery. the article describes the results of successful application of this technique in three patients with distal extracranial internal carotid artery aneurysms associated with pathological kinking of the artery.

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Surgical Treatment of Extracranial Internal Carotid Artery Aneurysm

Cited by 111 publications

References 20 publications

Giant Internal Carotid Artery Aneurysm Manifesting as Difficulty in Swallowing -Case Report-

Giant Internal Carotid Artery Aneurysm Manifesting as Difficulty in Swallowing -Case Report-

Surgical treatment of an extracranial internal carotid artery aneurysm: case report

Surgical treatment of distal extracranial internal carotid artery aneurysms associated with pathological artery kinking

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