| Surgical aspects of fusiform and saccular extracranial carotid artery aneurysms. | |
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MedLine Citation:
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PMID: 9212206 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The purpose of this paper is to analyse surgical aspects of aneurysms of the distal extracranial internal carotid artery. Nine cases of extracranial carotid artery aneurysm are reported. Five were fusiform, located at the carotid bifurcation, and four were saccular, confined to the internal carotid artery. An end-to-end plication technique and Dacron patch angioplasty were employed for all fusiform aneurysms. In three saccular lesions, resection and 4-mm polytetrafluoroethylene (PTFE) graft interposition were carried out. In one case with a high lesion, ligation of the carotid artery was performed. Ligation resulted in severe postoperative stroke and fatal outcome. One patient with a saccular lesion developed a transient ischaemic attack after the operation. In other patients no central neurological deficit was produced by the surgery itself. Transient cranial nerve damage occurred in four patients (two hypoglossal nerve: two superior laryngeal nerve). As demonstrated by these cases, synthetic material may be used in restoration of the carotid artery. It is concluded that, according to type, location of the aneurysm and adequacy of contralateral cerebral blood flow, selective management is necessary. |
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Authors:
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K Miksić; V Flis; G Kosir; M Pavlovic; E Tetickovic |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Cardiovascular surgery (London, England) Volume: 5 ISSN: 0967-2109 ISO Abbreviation: Cardiovasc Surg Publication Date: 1997 Apr |
Date Detail:
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Created Date: 1997-08-20 Completed Date: 1997-08-20 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9308765 Medline TA: Cardiovasc Surg Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 190-5 Citation Subset: IM |
Affiliation:
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Department of Vascular Surgery, Maribor Teaching Hospital, Slovenia. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aneurysm / surgery* Blood Vessel Prosthesis Carotid Artery Diseases / surgery* Carotid Artery, Internal / surgery Endarterectomy, Carotid Female Humans Ischemic Attack, Transient / etiology, surgery Male Middle Aged Polytetrafluoroethylene Postoperative Complications / etiology Recurrence Suture Techniques |
| Chemical | |
Reg. No./Substance:
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9002-84-0/Polytetrafluoroethylene |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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