| Adjunctive endovascular techniques in the management of postoperative carotid artery pseudoaneurysms--useful armamentarium for vascular surgeons--three case reports. | |
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MedLine Citation:
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PMID: 12799730 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Postoperative carotid artery pseudoaneurysms are rare. The traditional treatment of choice has been operative repair, which can present a significant technical challenge owing to the reoperative neck inflammation and potential cranial nerve injuries. The authors report 3 cases of postoperative carotid pseudoaneurysms that were successfully managed by use of various adjunctive endovascular techniques. The adjunctive endovascular maneuvers included the following: 1) endoluminal balloon placement for preoperative test occlusion and intraoperative proximal control to facilitate operative dissection in the first patient with a carotid pseudoaneurysm; 2) endoluminal stent-graft placement to exclude a large expanding carotid pseudoaneurysm in the second patient; and 3) endoluminal coil placement along with balloon occlusion to achieve complete hemostasis in the third patient, who presented with a hemorrhaging carotid pseudoaneurysm. Successful outcomes were achieved in all 3 patients by use of adjunctive endovascular techniques. These cases underscore the role of adjunctive endovascular treatment as an armamentarium for vascular surgeons in the treatment of complex carotid pseudoaneurysms. |
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Authors:
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Thomas T Terramani; Michael J Workman; Zeev Loberman; David L Dawson; Ruth L Bush; Alan B Lumsden; Peter H Lin |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Vascular and endovascular surgery Volume: 37 ISSN: 1538-5744 ISO Abbreviation: Vasc Endovascular Surg Publication Date: 2003 May-Jun |
Date Detail:
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Created Date: 2003-06-11 Completed Date: 2003-07-29 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 101136421 Medline TA: Vasc Endovascular Surg Country: United States |
Other Details:
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Languages: eng Pagination: 207-12 Citation Subset: IM |
Affiliation:
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Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aneurysm, False / etiology, therapy* Balloon Dilatation Carotid Artery Diseases / therapy* Endarterectomy, Carotid / adverse effects* Female Hemostasis, Surgical Humans Male Saphenous Vein / transplantation Stents Vascular Surgical Procedures* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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