Management of extracranial carotid artery aneurysm: A report of four cases

Song,Gang; Jiao,Liqun; Chen,Yanfei; Wang,Yabing; Ma,Yan; Ling,Feng

doi:10.3892/etm.2015.2606

Management of extracranial carotid artery aneurysm: A report of four cases

Authors:
- Gang Song
- Liqun Jiao
- Yanfei Chen
- Yabing Wang
- Yan Ma
- Feng Ling
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Affiliations: Department of Neurosurgery, Xuan Wu Hospital, Capital Medical University, Beijing 100053, P.R. China
Published online on: July 1, 2015 https://doi.org/10.3892/etm.2015.2606
Pages: 1029-1032

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Abstract

Extracranial carotid artery aneurysm (ECAA) is an uncommon type of peripheral artery aneurysm. The treatment of this disease requires surgical intervention. Due to the limited number of large studies, the safety and efficacy of surgical and interventional management of ECAA is not well characterized. The optimum treatment has not been clearly defined. The present study reports four cases of ECAA. The patients received end‑to‑end anastomosis, carotid artery stents and balloon occlusion, respectively. These four cases demonstrate that ECAA may be successfully managed using end‑to‑end anastomosis. Furthermore, end‑to‑end anastomosis is a better intervention compared with endovascular treatment as it facilitates the removal of lesions under direct observation. The advantage of open surgery is the surgical repair of end‑to‑end anastomosis under direct observation. However, few studies have investigated the effect of the timing of resection of an aneurysm on patient outcome and the control of bleeding remains a challenge for surgeons. Therefore, the proximal and distal ends of aneurysm should be under direct observation during surgery.

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1	El-Sabrout R and Cooley DA: Extracranial carotid artery aneurysms: Texas Heart Institute experience. J Vasc Surg. 31:702–712. 2000. View Article : Google Scholar : PubMed/NCBI
2	McCollum CH, Wheeler WG, Noon GP and DeBakey ME: Aneurysms of the extracranial carotid artery. Twenty-one years' experience. Am J Surg. 137:196–200. 1979. View Article : Google Scholar : PubMed/NCBI
3	Welling RE, Taha A, Goel T, Cranley J, Krause R, Hafner C and Tew J: Extracranial carotid artery aneurysms. Surgery. 93:319–323. 1983.PubMed/NCBI
4	Tabata M, Kitagawa T, Saito T, Uozaki H, Oshiro J, Miyata T and Shigematsu H: Extracranial carotid aneurysm in Takayasu's arteritis. J Vasc Surg. 34:739–742. 2001. View Article : Google Scholar : PubMed/NCBI
5	Smith BL, Munschauer CE, Diamond N and Rivera F: Ruptured internal carotid aneurysm resulting from neurofibromatosis: Treatment with intraluminal stent graft. J Vasc Surg. 32:824–8. 2000. View Article : Google Scholar : PubMed/NCBI
6	McCann RL: Basic data related to peripheral artery aneurysms. Ann Vasc Surg. 4:411–414. 1990. View Article : Google Scholar : PubMed/NCBI
7	Rosset E, Albertini JN, Magnan PE, Ede B, Thomassin JM and Branchereau A: Surgical treatment of extracranial internal carotid artery aneurysms. J Vasc Surg. 31:713–723. 2000. View Article : Google Scholar : PubMed/NCBI
8	Szopinski P, Ciostek P, Kielar M, Myrcha P, Pleban E and Noszczyk W: A series of 15 patients with extracranial carotid artery aneurysms: Surgical and endovascular treatment. Eur J Vasc Endovasc Surg. 29:256–261. 2005. View Article : Google Scholar : PubMed/NCBI
9	Cooper A: Account of the first successful operation performed on the common carotid artery for aneurysm, in the year 1808, with the post-mortem examination in the year 1821. Guys Hosp Rep. 1:53–59. 1836.
10	Zhou W, Lin PH, Bush RL, Peden E, Guerrero MA, Terramani T, Lubbe DF, Nguyen L and Lumdsen AB: Carotid artery aneurysm: Evolution of management over two decades. J Vasc Surg. 43:493–497. 2006. View Article : Google Scholar : PubMed/NCBI
11	Srivastava SD, Eagleton MJ, O'Hara P, Kashyap VS, Sarac T and Clair D: Surgical repair of carotid artery aneurysms: A 10-year, single-center experience. Ann Vasc Surg. 24:100–105. 2010. View Article : Google Scholar : PubMed/NCBI
12	Dimtza A: Aneurysms of the carotid arteries; report of two cases. Angiology. 7:218–227. 1956. View Article : Google Scholar : PubMed/NCBI
13	Longo GM and Kibbe MR: Aneurysms of the carotid artery. Semin Vasc Surg. 18:178–183. 2005. View Article : Google Scholar : PubMed/NCBI
14	Radak D, Davidović L, Vukobratov V, Ilijevski N, Kostić D, Maksimović Z, Vucurević G, Cvetkovic S and Avramov S: Carotid artery aneurysms: Serbian multicentric study. Ann Vasc Surg. 21:23–29. 2007. View Article : Google Scholar : PubMed/NCBI
15	Patel JV, Rossbach MM, Cleveland TJ, Gaines PA and Beard JD: Endovascular stent-graft repair of traumatic carotid artery pseudoaneurysm. Clin Radiol. 57:308–311. 2002. View Article : Google Scholar : PubMed/NCBI
16	Klein GE, Szolar DH, Raith J, Frühwirth H, Pascher O and Hausegger KA: Posttraumatic extracranial aneurysm of the internal carotid artery: Combined endovascular treatment with coils and stents. AJNR Am J Neuroradiol. 18:1261–1264. 1997.PubMed/NCBI
17	Smith BL, Munschauer CE, Diamond N and Rivera F: Ruptured internal carotid aneurysm resulting from neurofibromatosis: Treatment with intraluminal stent graft. J Vasc Surg. 32:824–828. 2000. View Article : Google Scholar : PubMed/NCBI
18	Li Z, Chang G, Yao C, Guo L, Liu Y, Wang M, Liu D and Wang S: Endovascular stenting of extracranial carotid artery aneurysm: A systematic review. Eur J Vasc Endovasc Surg. 42:419–426. 2011. View Article : Google Scholar : PubMed/NCBI