scholarly journals Hybrid Solution for Mycotic Pseudoaneurysm of Carotid Bifurcation

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Giuseppe Deiana ◽  
Antonio Baule ◽  
Genadi Genadiev Georgiev ◽  
Mario Moro ◽  
Francesco Spanu ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Carotid Artery ◽  
Antibiotic Therapy ◽  
Staphylococcus Epidermidis ◽  
Vein Graft ◽  
Carotid Bifurcation ◽  
Extracranial Carotid Artery ◽  
Mycotic Pseudoaneurysm ◽  
Hybrid Solution

Mycotic pseudoaneurysms of the extracranial carotid artery are rare and need surgical treatment to prevent rupture or embolization. We treated a case of a carotid bifurcation pseudoaneurysm secondary to infection caused by Staphylococcus epidermidis. We successfully treated it using a catheter balloon to obtain carotid bifurcation’s control and replacing the carotid bifurcation with a vein graft. Management involves aneurysmectomy associated with antibiotic therapy and restoration of arterial continuity.

scholarly journals Endovascular Treatment of a Giant Extracranial Carotid Artery Pseudoaneurysm in a Child Using Vascular Plugs

2019 ◽  
Vol 99 (10) ◽  
pp. NP119-NP121
Author(s):  
Jim Zhong ◽  
Fathallah Islim ◽  
Santosh Sundararajan ◽  
Nasim Tahir ◽  
Tony Goddard ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid ◽  
Retropharyngeal Abscess ◽  
Extracranial Internal Carotid Artery ◽  
Artery Pseudoaneurysm ◽  
Extracranial Carotid Artery ◽  
Mycotic Pseudoaneurysm ◽  
First Case ◽  
Back Door ◽  
Repeat Imaging

Carotid artery pseudoaneurysm is a rare but serious complication of a retropharyngeal abscess in children. We report the first case of treating an unruptured mycotic pseudoaneurysm of the extracranial internal carotid artery (ICA) in a pediatric patient with vascular plugs. A 3-year-old patient presented with airway compromise and signs of neck sepsis. Successful embolization of the pseudoaneurysm was achieved with 2 Amplatzer vascular plugs to close the front and back door. The patient did not have any neurological deficit. Repeat imaging with ultrasound and computed tomography confirmed no recurrence of the pseudoaneurysm.

scholarly journals Mycotic pseudoaneurysm of the extracranial carotid artery, a severe and rare disease, a case report

2020 ◽  
Vol 71 ◽  
pp. 382-385
Author(s):  
Gabriel Molina ◽  
Carolina Mesías ◽  
Juan Calispa ◽  
Kevin Arroyo ◽  
Katherine Jaramillo ◽  
...  
Keyword(s):  
Case Report ◽  
Carotid Artery ◽  
Rare Disease ◽  
Extracranial Carotid Artery ◽  
Mycotic Pseudoaneurysm

scholarly journals A Rare Cause of Juvenile Stroke: Extracranial Carotid Artery Aneurysm with Venous Complete Reconstruction of the Carotid Bifurcation

2018 ◽  
Vol 53 (4) ◽  
pp. 275-279 ◽  
Author(s):  
Maurizio Domanin ◽  
Silvia Lanfranconi ◽  
Silvia Romagnoli ◽  
Letterio Runza ◽  
Francesca Cortini ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Artery Aneurysm ◽  
Carotid Bifurcation ◽  
Extracranial Carotid Artery ◽  
Carotid Artery Aneurysm

Surgical Treatment of Common Carotid Artery Occlusion

Neurosurgery ◽  
1983 ◽  
Vol 12 (5) ◽  
pp. 515-524 ◽  
Author(s):  
Massimo Collice ◽  
Vincenzo D'Angelo ◽  
Orazio Arena
Keyword(s):  
Surgical Treatment ◽  
Carotid Artery ◽  
Common Carotid Artery ◽  
Carotid Bifurcation ◽  
Artery Occlusion ◽  
Carotid Artery Occlusion ◽  
External Carotid Artery ◽  
External Carotid ◽  
Proximal Lesion ◽  
Common Carotid Artery Occlusion

Abstract Complete occlusion of the common carotid artery (CCA) has been found in 4 to 5% of patients suffering from cerebral ischemia due to atherosclerotic lesions. The classical surgical treatment of the lesion consists of retrograde thromboendar-terectomy or bypass grafting between the subclavian artery and the carotid bifurcation with the aim of restoring flow into the internal carotid artery (ICA) or revascularizing the external carotid artery (ECA) when the ICA is definitively occluded. Recent reconstructive microneurosurgical techniques offer these patients alternative or additional possibilities of cerebral revascularization. During the last 5 years, we have treated nine patients with CCA occlusion, using different techniques mainly according to the site and extent of obstruction and the anatomical conditions of the arteries. In only one patient was the ICA found to be patent: a subclavian-ICA bypass was performed. In four other patients with occlusion of the full length of the CCA (proximal lesion) and ICA occlusion, attempts at retrograde thromboendarterectomy were made and then subclavian-ECA bypass and superficial temporal-middle cerebral artery (STA-MCA) bypass were performed in two steps. In four patients with CCA obstruction limited to the carotid bifurcation area (distal lesion) and with ICA occlusion, the following techniques were used: (a) endarterectomy of the CCA and ECA and STA-MCA bypass in two steps (one case), (b) CCA-ECA bypass and STA-MCA bypass in two steps (one case), and (c) subclavian-MCA bypass (two cases). Four of nine patients were treated by contralateral ICA endarterectomy after repair of the CCA obstruction. Angiography was performed 7 to 10 days after every surgical procedure, and all arteries and grafts, originally opened, were found to be patent. No operative death occurred in the series, but one patient suffered a transient neurological deficit. During the follow-up period (average, 14 months), no ischemic episode occurred. These data suggest that a versatile surgical approach is rational for the treatment of CCA occlusion.

Surgical management of extracranial carotid artery aneurysms

VASA ◽  
2016 ◽  
Vol 45 (3) ◽  
pp. 223-228 ◽  
Author(s):  
Jan Paweł Skóra ◽  
Jacek Kurcz ◽  
Krzysztof Korta ◽  
Przemysław Szyber ◽  
Tadeusz Andrzej Dorobisz ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Surgical Management ◽  
Minor Stroke ◽  
Stroke Rate ◽  
Extracranial Carotid Artery ◽  
Long Term Follow Up ◽  
End To End ◽  
Dacron Patch ◽  
Major Stroke

Abstract. Background: We present the methods and results of the surgical management of extracranial carotid artery aneurysms (ECCA). Postoperative complications including early and late neurological events were analysed. Correlation between reconstruction techniques and morphology of ECCA was assessed in this retrospective study. Patients and methods: In total, 32 reconstructions of ECCA were performed in 31 symptomatic patients with a mean age of 59.2 (range 33 - 84) years. The causes of ECCA were divided among atherosclerosis (n = 25; 78.1 %), previous carotid endarterectomy with Dacron patch (n = 4; 12.5 %), iatrogenic injury (n = 2; 6.3 %) and infection (n = 1; 3.1 %). In 23 cases, intervention consisted of carotid bypass. Aneurysmectomy with end-to-end suture was performed in 4 cases. Aneurysmal resection with patching was done in 2 cases and aneurysmorrhaphy without patching in another 2 cases. In 1 case, ligature of the internal carotid artery (ICA) was required. Results: Technical success defined as the preservation of ICA patency was achieved in 31 cases (96.9 %). There was one perioperative death due to major stroke (3.1 %). Two cases of minor stroke occurred in the 30-day observation period (6.3 %). Three patients had a transient hypoglossal nerve palsy that subsided spontaneously (9.4 %). At a mean long-term follow-up of 68 months, there were no major or minor ipsilateral strokes or surgery-related deaths reported. In all 30 surviving patients (96.9 %), long-term clinical outcomes were free from ipsilateral neurological symptoms. Conclusions: Open surgery is a relatively safe method in the therapy of ECCA. Surgical repair of ECCAs can be associated with an acceptable major stroke rate and moderate minor stroke rate. Complication-free long-term outcomes can be achieved in as many as 96.9 % of patients. Aneurysmectomy with end-to-end anastomosis or bypass surgery can be implemented during open repair of ECCA.

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