A Rare Cause of Juvenile Stroke: Extracranial Carotid Artery Aneurysm with Venous Complete Reconstruction of the Carotid Bifurcation
| Autor: | Silvia Lanfranconi, Francesca Cortini, Letterio Runza, Maurizio Domanin, Silvia Romagnoli, Livio Gabrielli, Giacomo Piero Comi |
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| Rok vydání: | 2017 |
| Předmět: |
Carotid Artery Diseases
Male medicine.medical_specialty Middle Cerebral Artery Adolescent External carotid artery 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Aneurysm Restenosis Seizures Internal medicine medicine.artery medicine Humans Saphenous Vein cardiovascular diseases Stroke business.industry Great saphenous vein Angiography General Medicine Plastic Surgery Procedures medicine.disease Giacomini vein Treatment Outcome Pediatrics Perinatology and Child Health Carotid Artery External cardiovascular system Etiology Cardiology Surgery Neurology (clinical) business Perfusion Vascular Surgical Procedures 030217 neurology & neurosurgery |
| Zdroj: | Pediatric neurosurgery. 53(4) |
| ISSN: | 1423-0305 |
| Popis: | Extracranial carotid artery aneurysms (ECAA) are a rare cause of embolic stroke. The underlying etiology is variable, with atherosclerosis being the most common entity in older subjects. Several treatments have been developed over the last 20 years, but the preferred method remains unknown. Notwithstanding the widespread use of endovascular techniques, surgical reconstruction by means of a bifurcated venous bypass graft should be applied in younger patients. In this way, it is possible to avoid major concerns about the development of long-term intrastent restenosis, and also to spare the external carotid artery which represents the main branch for the ipsilateral cerebral and facial perfusion. We propose ECAA resection and interposition of the inverted great saphenous vein to both the internal and external carotid artery by means the use of a tributary, i.e., the Giacomini vein. |
| Databáze: | OpenAIRE |
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