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[Extracranial carotid aneurysms]

W Hepp1

  • 1Bereich Gefässchirurgie, Orthopädische Universitätsklinik und Poliklinik, Freien Universität Berlin.

Zentralblatt Fur Chirurgie
|January 1, 1996
PubMed
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Surgical repair of rare extracranial carotid artery aneurysms is recommended to prevent cerebral embolization. This approach offers effective embolic prophylaxis with tolerable perioperative risk, as demonstrated in a study of 15 patients.

Area of Science:

  • Vascular Surgery
  • Cerebrovascular Diseases
  • Aneurysm Treatment

Background:

  • Extracranial carotid artery aneurysms are infrequent vascular conditions.
  • These aneurysms can be arteriosclerotic, false, or dissecting in nature.
  • Cerebral embolization is a significant risk associated with these aneurysms.

Purpose of the Study:

  • To report outcomes of surgical management for extracranial carotid artery aneurysms.
  • To evaluate the effectiveness of aneurysm exstirpation and PTFE interposition.
  • To assess the risk of perioperative complications and neurological deficits.

Main Methods:

  • Retrospective review of 15 patients with extracranial carotid artery aneurysms.
  • Surgical intervention involving aneurysm exstirpation and polytetrafluoroethylene (PTFE) graft interposition.

Related Experiment Videos

  • Inclusion of external carotid artery reinsertion in two cases.
  • Main Results:

    • No perioperative mortality observed in the studied cohort.
    • One case of permanent and one case of transient ischemic neurologic deficit occurred.
    • Complete recovery of cranial nerve lesions was noted in three patients.

    Conclusions:

    • Surgical intervention for extracranial carotid artery aneurysms is advisable to prevent cerebral embolization.
    • Aneurysm exstirpation with PTFE interposition is an effective treatment strategy.
    • The procedure offers effective embolic prophylaxis with manageable risks.