scholarly journals Extracranialis carotis aneurysmák korszerű kezelése

2019 ◽  
Vol 160 (21) ◽  
pp. 815-821
Author(s):  
Áron Nyilas ◽  
Zsolt Palásthy ◽  
Zsuzsanna Mihály ◽  
Enikő Veres-Lakos ◽  
Zoltán Szeberin
Keyword(s):  
Carotid Artery ◽  
Vascular Surgery ◽  
Open Surgery ◽  
Carotid Artery Disease ◽  
Artery Aneurysm ◽  
Long Term Results ◽  
Invasive Treatment ◽  
Carotid Artery Aneurysm ◽  
The Mean

Abstract: Introduction: Aneurysm of the extracranial carotid artery is a rare condition and there is a diversity in the etiology. The proper treatment could be a real challenge for the surgeons. Aim: Analysis of perioperative and long term results of invasive treatment for carotid artery aneurysm. Method: A retrospective review was conducted of patients who had open or endovascular surgery due to carotid artery aneurysm through the last 13 years at the Department of Vascular Surgery of the Semmelweis University and at the Department of Surgery of the University of Szeged. Medical history, characteristics of the aneurysms, therapy and the follow-up results were reviewed. Results: Over the study period, 25 interventions were performed due to carotid artery aneurysm. There were 10 men and 15 women with a mean age of 57.8 ± 15.15 years. Seventeen patients (68%) were symptomatic. The mean aneurysm diameter was 26.8 ± 11.25 mm. The underlying etiology was atherosclerosis in eleven (44%), prior carotid endarterectomy in four (16%), infection in four (16%) and other cause (connective tissue disease, dissection, trauma) in six (24%) cases. Nineteen patients underwent open surgery, six underwent endovascular treatment. Death within 30 days was documented in one (4%) case. The mean postoperative hospital stay was 4.52 ± 2.38 days. Three (12%) patients required reintervention postoperatively. Peripheral nerve injuries were detected in four (16%) patients, all after open surgery. No stroke was documented within 30 days. The mean follow-up was 41.2 ± 38.54 months. Five (24%) deaths were not related to the carotid artery disease. One patient had stroke, one had transient ischaemic attack (TIA), and in two cases asymptomatic internal carotid artery occlusion was described. Conclusion: Both open surgery and endovascular intervention can be safely applied in the treatment of carotid artery aneurysm. Considering the variable etiology and rarity, we recommend to perform the interventions in vascular surgery centres. Orv Hetil. 2019; 160(21): 815–821.

scholarly journals Mid-term follow-up of staged bilateral internal carotid artery aneurysm treatment with Pipeline embolization

2019 ◽  
Vol 25 (6) ◽  
pp. 664-670
Author(s):  
Juan G Tejada ◽  
Gloria VV Lopez ◽  
Jerry ME Koovor ◽  
Kalen Riley ◽  
Mesha Martinez
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Artery Aneurysm ◽  
Flow Diverter ◽  
Imaging Data ◽  
Carotid Artery Aneurysm ◽  
Common Location ◽  
Internal Carotid Artery Aneurysm

Background Endovascular treatment of large complex morphology aneurysms is challenging. High recanalization rates have been reported with techniques such as stent-assisted coiling and balloon-assisted coiling. Flow diverter devices have been introduced to improve efficacy outcomes and recanalization rates. Thromboembolic complications and in-device stenosis are certainly more worrisome when treatment of bilateral internal carotid arteries has been performed. This study aimed to report our experience with mid-term imaging follow-up of staged bilateral Pipeline embolization device placement for the treatment of bilateral internal carotid artery aneurysms. Methods We reviewed the clinical, angiographic, and follow-up imaging data in all consecutive patients treated with bilateral internal carotid artery aneurysms who underwent elective Pipeline embolization. Results Six female patients were treated, harboring a total of 13 aneurysms. Of these, 60% were asymptomatic. Diplopia and headache were the most common symptoms. The most common location was the paraclinoid segment (6/13), including by cavernous segment (4/13) and ophthalmic segment (2/13). Successful delivery of the device was achieved in 12 cases. Difficult distal access precluded the deployment of the device in one case. The treatment was always staged with at least eight weeks' difference between the two procedures. All aneurysm necks were covered completely. There were no periprocedural complications. Angiographic follow-up ranged between 3 and 12 months, and computed tomography angiogram follow-up ranged between 2 and 24 months. Complete aneurysm occlusion was achieved in all cases. Conclusion In our series, Pipeline deployment for the treatment of bilateral internal carotid artery aneurysms in a staged fashion is safe and feasible. Mid-term imaging follow-up showed permanent occlusion of all the treated aneurysms.

Endovascular Treatment of Intracavernous Carotid Aneurysm with Hyperprolactinaemia

1998 ◽  
Vol 4 (3) ◽  
pp. 253-256 ◽  
Author(s):  
J.G.M.P. Caldas ◽  
S. Cavalheiro ◽  
D.R. Nalli ◽  
M.E. Frudit ◽  
P. Puglia
Keyword(s):  
Carotid Artery ◽  
Mr Angiography ◽  
Artery Aneurysm ◽  
Mass Effect ◽  
Serum Prolactin ◽  
Neurologic Examination ◽  
Carotid Artery Aneurysm ◽  
Intracavernous Carotid Artery ◽  
Discrete Mass

A 42-year-old woman presented with headache, galactorrhoea, marked hyperprolactinemia and normal neurologic examination. CT, MR and MR-angiography showed an intracavernous carotid artery aneurysm with minimal displacement of the pituitary stalk. Treatment by embolisation using GDC coils allowed exclusion of the aneurysm. Galactorrhoea resolved and serum prolactin levels fell to normal after eight months. Follow-up MR showed absence of the aneurysm, although the discrete mass effect persisted, suggesting that hyperprolactinaemia was due to pulsatility.

scholarly journals Clinical Analysis of Interventional Therapy for Eight Cases of Extracranial ICA Aneurysm

2021 ◽  
Vol 37 (4) ◽  
Author(s):  
Jian-Feng Xu ◽  
Zao-Bin Liu ◽  
Tong Wang ◽  
Yang Liu
Keyword(s):  
Carotid Artery ◽  
Stent Implantation ◽  
Operation Time ◽  
Artery Aneurysm ◽  
Interventional Therapy ◽  
Clinical Analysis ◽  
Extracranial Carotid Artery ◽  
Carotid Artery Aneurysm ◽  
Extracranial Ica

Objective: To explore the interventional therapy and clinical efficacy of extracranial ICA aneurysm. Methods: The clinical data of eight patients with extracranial ICA aneurysm treated by interventional stent implantation from December 2014 to February 2018 in the Neurosurgery Department of the Third Hospital of Mianyang were analyzed. And this research was a retrospective analysis. All patients underwent digital subtraction angiography (DSA) and were diagnosed with extracranial carotid artery aneurysm. These patients, therefore, were treated with interventional stent implantation. Results: Interventional treatment was successfully conducted on all eight patients. In eight patients, the aneurysm cavity was not developed immediately after angiography, and in one case, the aneurysm cavity was developed with coil-assisted embolization. All the internal carotid arteries were well developed, with no complications such as intraoperative rupture, bleeding and thrombosis occur. Follow-up for three months to two years showed that the patients recovered well, the GOS score was 4 points for patients with cerebral infarction, and the rest reached five points. Follow-up CTA showed no signs of aneurysm recurrence or ICA restenosis. Conclusion: Interventional stent placement is a preferable and relatively safe method for the treatment of extracranial carotid artery aneurysm with less trauma and short operation time. doi: https://doi.org/10.12669/pjms.37.4.3957 How to cite this:Xu JF, Liu ZB, Wang T, Liu Y. Clinical Analysis of Interventional Therapy for Eight Cases of Extracranial ICA Aneurysm. Pak J Med Sci. 2021;37(4):---------. doi: https://doi.org/10.12669/pjms.37.4.3957 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Long-term results of polytetrafluoroethylene versus saphenous vein repair of degenerative carotid artery aneurysm

2020 ◽  
Vol 72 (4) ◽  
pp. 1413-1420
Author(s):  
Giulio Illuminati ◽  
Giulia Pizzardi ◽  
Rocco Pasqua ◽  
Priscilla Nardi ◽  
Francesco G. Calio’ ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Saphenous Vein ◽  
Artery Aneurysm ◽  
Long Term Results ◽  
Carotid Artery Aneurysm
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