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Safety of carotid endarterectomy associated with small intracranial aneurysms
B R Kann1, T Matsumoto, M D Kerstein
1Allegheny University Hospitals, Allegheny University of the Health Sciences, Philadelphia, PA 19102-1192, USA.
Background:
The incidence and outcome of combined carotid artery disease and intracranial aneurysm (ICA) are not well reported.
Methods:
Ten patients with combined disease, ICA and symptomatic carotid artery disease, were identified in 209 consecutive angiograms. Five men and five women with a mean age of 68 years and the risk factors of diabetes, hypertension, smoking, cardiac disease, peripheral vascular disease, and hypercholesterolemia formed the basis for this study.
Results:
Five patients with carotid endarterectomy (CEA) and arterial aneurysms less than 5 mm and five with carotid stenosis and ICA less than 6 mm were treated with Coumadin; one with combined disease left the hospital without treatment; and one with combined disease died preoperatively of a myocardial infarction. One patient with a 2 cm x 3 cm ICA and carotid had both operated on successfully.
Conclusions:
In this group of patients, CEAs were done safely in patients with ICAs less than 6 mm.