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Related Experiment Videos

Carotid artery aneurysms.

Lazar Davidovic1, Dusan Kostic, Zivan Maksimovic

  • 1Institute for Cardiovascular Diseases of the Clinical Centre of Serbia, Department of Vascular Surgery, Belgrade, Serbia. lazard@eunet.yu

Vascular
|December 14, 2004
PubMed
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Surgical treatment of extracranial carotid artery aneurysms in 16 patients showed good long-term outcomes. Despite rare complications like stroke, most patients remained symptom-free after procedures like graft replacement or anastomosis.

Area of Science:

  • Vascular Surgery
  • Cerebrovascular Diseases
  • Surgical Outcomes

Background:

  • Extracranial carotid artery aneurysms are rare but clinically significant due to potential complications.
  • These aneurysms can present with diverse symptoms, including rupture, transient ischemic attacks, and stroke.
  • Understanding their natural history and treatment options is crucial for patient management.

Purpose of the Study:

  • To report the treatment outcomes of extracranial carotid artery aneurysms.
  • To analyze the surgical methods employed and their associated complications.
  • To evaluate the long-term results and prognosis for patients with these rare aneurysms.

Main Methods:

  • Retrospective analysis of 17 extracranial carotid artery aneurysms in 16 patients.

Related Experiment Videos

  • Surgical interventions included graft replacement, end-to-end anastomosis, saphenous vein graft replacement, and carotid artery ligature.
  • Patient demographics, presenting symptoms, surgical procedures, and follow-up data were collected.

    • Main Results:

    • 15 male and 1 female patient (average age 64.8 years) were treated.
    • Common carotid artery aneurysms (2) and internal carotid artery aneurysms (15) were analyzed.
    • Presenting symptoms included rupture (2), asymptomatic mass (3), cranial nerve compression (2), TIA (6), and stroke (4).
    • Surgical procedures: Dacron graft (5), end-to-end anastomosis (8), saphenous vein graft (3), and ligature (1).
    • One patient died postoperatively from stroke; 3 experienced postoperative stroke, and 2 had transient cranial nerve damage.
    • Long-term follow-up (mean 5 years, 3 months) showed all surviving patients were neurologically asymptomatic.

    Conclusions:

    • Surgical management of extracranial carotid artery aneurysms can achieve favorable long-term outcomes.
    • Despite a small risk of perioperative complications, interventions like anastomosis and graft replacement are effective.
    • Extracranial carotid artery aneurysms require careful consideration due to their potential for serious neurological events.