| Surgical treatment of extracranial carotid aneurysms. | |
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MedLine Citation:
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PMID: 7790747 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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During the past 23 years, 12 patients with aneurysm of the carotid bifurcation were treated in our department. There were 11 men and one woman between 20 and 68 years (mean age 54.2 years). In as much as 217 patients were operated on for extracranial occlusive carotid disease during the same period, the incidence of these aneurysms in our series has been estimated to be 5%. Eleven patients presented with TIAs ipsilateral to the aneurysm. One patient presented with a painful pulsatile enlarging mass in the neck (ruptured aneurysm) without any neurological complications. Eleven patients underwent surgical repair. Ligation of the common carotid artery was done in one patient, resection of the aneurysm with end-to-end anastomosis was performed in 2 patients, aneurysmorraphy in 4, excision and reconstruction with reversed saphenous vein in one, excision and reconstruction with PTFE graft in one and 2 patients underwent endarterectomy and angioplasty of the carotid bifurcation. One patient with a high internal carotid artery aneurysm (base of the skull) was classified as nonoperable. There were no deaths or strokes postoperatively. Persistent cranial nerve injury was noted in 1 case (8%). Follow-up at 6 months - 10 years (mean 5.5 years) yielded and incidence of post-op TIAs of 8% attributed to intracranial occlusive disease. Surgical correction is the treatment of choice for extracranial carotid aneurysm and can be performed with a very low morbidity and mortality and carries excellent long-term results. |
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Authors:
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C D Liapis; A Gugulakis; E Misiakos; C Verikokos; B Dousaitou; M Sechas |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: International angiology : a journal of the International Union of Angiology Volume: 13 ISSN: 0392-9590 ISO Abbreviation: Int Angiol Publication Date: 1994 Dec |
Date Detail:
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Created Date: 1995-07-27 Completed Date: 1995-07-27 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8402693 Medline TA: Int Angiol Country: ITALY |
Other Details:
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Languages: eng Pagination: 290-5 Citation Subset: IM |
Affiliation:
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2nd Department of Propedeutic Surgery, Athens University Medical School, Greece. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Blindness
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etiology Blood Vessel Prosthesis Carotid Artery Diseases / complications, epidemiology, surgery* Carotid Artery, Common / surgery Carotid Artery, Internal / surgery Endarterectomy, Carotid Female Follow-Up Studies Humans Incidence Intracranial Aneurysm / complications, epidemiology, surgery* Ischemic Attack, Transient / etiology Male Middle Aged Saphenous Vein / transplantation Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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