Transcarotid artery revascularization for carotid pseudoaneurysm and patch degeneration after carotid endarterectomy

被引:0
作者
Aru, Roberto G. [1 ,2 ]
Abularrage, Christopher J. [1 ,2 ]
机构
[1] Johns Hopkins Univ, Sch Med, Div Vasc Surg & Endovasc Therapy, 600 N Wolfe St,Halsted 668, Baltimore, MD 21287 USA
[2] Johns Hopkins Univ, Dept Surg, Sch Med, Baltimore, MD USA
来源
JOURNAL OF VASCULAR SURGERY CASES INNOVATIONS AND TECHNIQUES | 2023年 / 9卷 / 04期
关键词
Carotid artery stent; Carotid endarterectomy; Carotid pseudoaneurysm; Transcarotid artery revascularization; SURGICAL-TREATMENT; FLOW REVERSAL; ANEURYSMS; MANAGEMENT; REPAIR;
D O I
10.1016/j.jvscit.2023.101288
中图分类号
R61 [外科手术学];
学科分类号
摘要
An 86-year-old man with a history of right internal carotid artery occlusion and two remote left carotid endarterectomies presented with a contained posterior rupture of a carotid pseudoaneurysm. The infectious workup was negative. He underwent transcarotid artery revascularization, including external carotid artery coil embolization and exclusion of the carotid aneurysm with a self-expandable stent graft. He was discharged home on postoperative day 1 with his home antiplatelet and anticoagulant therapy. The 3-month postoperative imaging study demonstrated a widely patent carotid stent without an endoleak. Transcarotid artery revascularization is a viable alternative to open repair or transfemoral stenting for carotid artery aneurysms. (J Vasc Surg Cases Innov Tech 2023;9:101288.)
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页数:6
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