| Surgical management of extracranial internal carotid artery aneurysms. | |
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MedLine Citation:
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PMID: 7820515 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Between 1980 and 1991, 13 of 1312 carotid artery reconstructions were performed for aneurysms of the extracranial internal carotid artery. The patients included 12 men and one woman, mean age 56 years. Postoperative aneurysms and aneurysms involving the common carotid artery were excluded from the study. In six cases, the upper part of the aneurysm was higher than a line joining the mandibular to the tip of the mastoid process. Six aneurysms were atherosclerotic, two post-traumatic, four dysplasic and one post-traumatic and atherosclerotic. Nine patients had focal neurological symptoms (seven hemispherical, two ocular), one presented with cranial nerve compression, two had non-hemispherical symptoms and one was symptom-free. Surgical reconstruction was achieved by 12 venous grafts and one aneurysmorrhaphy. A conventional cervical approach was used in seven cases; in four cases subluxation of the mandible with resection of the posterior belly of the digastric muscle and division of the styloid process and its attached muscles was used. An infratemporal approach with release of the 7th nerve and opening up of the first portion of the carotid canal was used in two patients. There were no deaths or strokes but two patients had a transient ischaemic attack. In four cases, a cranial nerve palsy developed; one involving the 9th nerve did not recover. Patency was assessed by postoperative angiography in all cases. Mean (range) follow-up was 46 (4-126) months. One patient died after 2 years as a result of myocardial infarction. One patient had a transient ischaemic attack during the 2nd postoperative year. All survivors were assessed in January 1992, when all reconstructed arteries were patent. |
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Authors:
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E Rosset; P H Roche; P E Magnan; A Branchereau |
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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: 2 ISSN: 0967-2109 ISO Abbreviation: Cardiovasc Surg Publication Date: 1994 Oct |
Date Detail:
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Created Date: 1995-02-16 Completed Date: 1995-02-16 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: 567-72 Citation Subset: IM |
Affiliation:
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Service of Vascular Surgery, Hôpital Sainte Marguerite, Université Aix-Marseille II, France. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aneurysm / surgery* Arteriosclerosis / surgery Carotid Artery Diseases / surgery* Carotid Artery Injuries Carotid Artery, Internal / radiography, surgery Facial Nerve / surgery Facial Nerve Injuries Female Follow-Up Studies Glossopharyngeal Nerve / injuries Humans Ischemic Attack, Transient / etiology Male Mandible / surgery Methods Middle Aged Neck Muscles / surgery Neurologic Examination Paralysis / etiology Postoperative Complications Survival Rate Temporal Bone / surgery Vascular Patency Veins / transplantation |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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