Transcarotid Endovascular Repair of Extracranial Internal Carotid Artery Aneurysms Using Flow Reversal for Distal Embolic Protection

Autor: Motahar Hosseini, Rafael Santini, Sunny Sahajwani, Khanjan Nagarsheth, John Karwowski, Shahab Toursavadkohi, Syed M Ahmed, Raghuveer Vallabhaneni
Rok vydání: 2020
Předmět:
Zdroj: Annals of Vascular Surgery. 67:568.e13-568.e18
ISSN: 0890-5096
DOI: 10.1016/j.avsg.2020.03.020
Popis: Extracranial carotid artery aneurysms (ECAAs) have a low incidence between 0.4% and 4% of all peripheral artery aneurysms and involving 0.1-2% of all carotid artery procedures. Some form of repair is generally warranted as nonoperative management has shown mortality as high as 71%. However, to date a standard method for ECAA repair has not been suggested. Generally, open surgical repair is the preferred technique; however, it has its own limitations and risks. Recently, endovascular approach is increasingly being used not only for the elective repair of unruptured ECAA but also for the management of ruptured ECAA. Herein we present 3 cases of distal extracranial internal carotid artery aneurysms treated with placement of stent grafts.
Databáze: OpenAIRE