Related Experiment Video
Updated: Sep 12, 2025
07:21
Microsurgical Creation of Giant Bifurcation Aneurysms in Rabbits for the Evaluation of Endovascular Devices
Published on: September 8, 2023
793
[Giant extracranial carotid artery aneurysm]
Maud Van Buggenhout1, Natzi Sakalihasan2, Bernard Otto3
1Service de Chirurgie générale, CHU Liège, Belgique.
Revue Medicale De Liege
|August 5, 2025
Summary
Extracranial carotid artery aneurysms are rare vascular conditions. This case study details successful endovascular embolization for a 4cm internal carotid artery aneurysm, preventing stroke at two years.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Cerebrovascular Disease
Background:
- Extracranial carotid artery aneurysms (ECAs) are uncommon, accounting for <1% of all peripheral arterial aneurysms.
- Symptoms include pulsatile neck masses, compression of adjacent structures, cerebral events, or rupture.
- Treatment options encompass surgical, endovascular, and conservative approaches.
Observation:
- A 66-year-old woman presented with a pulsatile cervical mass.
- Diagnosis revealed a 4 cm extracranial left internal carotid artery aneurysm.
- The patient underwent embolization for total occlusion of the affected artery.
Findings:
- A balloon test occlusion was performed prior to embolization.
- The endovascular embolization procedure resulted in successful total occlusion.
- The patient experienced a favorable outcome with no stroke at the 2-year follow-up.
Implications:
- Endovascular embolization is a viable treatment option for select extracranial carotid artery aneurysms.
- This case highlights the importance of prompt diagnosis and intervention to prevent serious complications.
- Successful management can lead to favorable long-term outcomes, including stroke prevention.
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