Technical Options for the Surgical Management of Extracranial Carotid Artery Aneurysms -Three Case Reports-

被引：3

作者：

Yoneyama, Taku ^{[1
,2
]}

Kawashima, Akitsugu

Sugiura, Makoto ^{[3
]}

Yamaguchi, Kohji

Itou, Kaname

Namioka, Ai

Kawamata, Takakazu ^{[4
]}

Kubo, Osami

Okada, Yoshikazu

机构：

[1] Tokyo Womens Med Univ, Dept Neurosurg, Shinjyuku Ku, Tokyo 1628666, Japan

[2] Tokyo Womens Med Univ, Emergency Div, Tokyo 1628666, Japan

[3] Atami Tokoro Mem Hosp, Dept Neurosurg, Atami, Shizuoka, Japan

[4] Tokyo Womens Med Univ, Dept Neurosurg, Yachiyo Med Ctr, Chiba, Japan

来源：

NEUROLOGIA MEDICO-CHIRURGICA | 2012年 / 52卷 / 04期

关键词：

aneurysm; bypass; extracranial carotid artery; prosthesis; ENDOVASCULAR TREATMENT; EXPERIENCE; DISSECTION; SURGERY;

D O I：

10.2176/nmc.52.208

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Three cases of extracranial carotid artery (ECA) aneurysm were treated with various surgical options. Two female patients (74 and 37-year-old women) presented with pulsatile masses in their necks, which were confirmed as ECA aneurysms. Another 65-year-old woman presented with a calcified mass in her neck caused by an ECA aneurysm. The first case was treated with aneurysmorrhaphy with primary closure, the second with replacement of the involved site with vascular prosthesis, and the third with a high flow bypass with proximal ligation of the internal carotid artery. All three different surgical techniques were successful. ECA aneurysms are rare and require careful selection of the surgical method according to etiology, shape, and location of the ECA aneurysm. Proficiency in various vascular reconstruction techniques is a desirable prerequisite for the surgeon in-charge.

引用

页码：208 / 212

页数：5

共 26 条

[1] Benign long-term outcome of conservatively treated cervical aneurysms due to carotid dissection [J].