Document Detail

Combined surgical and endovascular treatment of infected pseudoaneurysm after carotid endarterectomy. Case report.
MedLine Citation:
PMID:  15699619     Owner:  NLM     Status:  MEDLINE    
A 67-year-old male presented with a rare pseudoaneurysm caused by infection after carotid endarterectomy (CEA) performed for stenosis of the left internal carotid artery (ICA). Wound infection and recurrent bleeding from the operated ICA developed 1 month after surgery. Serial angiography showed that the post-CEA pseudoaneurysm gradually increased in size. The carotid balloon occlusion test revealed that the patient could not tolerate permanent ICA occlusion because of poorly developed collaterals. Direct surgical exposure of the aneurysm was impossible due to tight adhesion of the surrounding tissue, so common carotid to middle cerebral artery bypass using a radial artery graft was performed followed by ligation of the distal common carotid artery. Subsequently, retrograde blood flow from the ICA to the aneurysm was interrupted by embolization of the external carotid artery coil through the facial artery. Combined surgical and endovascular treatment is a therapeutic option for patients with post-CEA pseudoaneurysm, if either direct or endovascular surgery is unfeasible.
Hiroshi Yasuda; Satoshi Kuroda; Satoshi Ushikoshi; Tsutomu Kato; Kiyohiro Houkin; Yoshinobu Iwasaki; Hiroshi Abe
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurologia medico-chirurgica     Volume:  45     ISSN:  0470-8105     ISO Abbreviation:  Neurol. Med. Chir. (Tokyo)     Publication Date:  2005 Jan 
Date Detail:
Created Date:  2005-02-08     Completed Date:  2005-05-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0400775     Medline TA:  Neurol Med Chir (Tokyo)     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  37-40     Citation Subset:  IM    
Department of Neurosurgery, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido, Japan.
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MeSH Terms
Carotid-Cavernous Sinus Fistula / microbiology*,  therapy*
Combined Modality Therapy
Embolization, Therapeutic*
Endarterectomy, Carotid / adverse effects*
Radial Artery / transplantation*
Surgical Wound Infection / complications*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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