Long-term results of endovascular exclusion of extracranial internal carotid artery aneurysms and dissecting aneurysm
| Autor: | Patrice BERGERON, Patrick KHANOYAN, Jean-Pierre MEUNIER, Jean-Noel GRAZIANI, Joel GAY |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Carotid Artery Internal Dissection Aneurysm medicine.artery medicine Humans Radiology Nuclear Medicine and imaging cardiovascular diseases Adverse effect Stroke Aged Aged 80 and over medicine.diagnostic_test business.industry Angiography Long term results Middle Aged medicine.disease Surgery Stenosis Aortic Dissection Treatment Outcome Female Radiology Internal carotid artery Cardiology and Cardiovascular Medicine business Complication Angioplasty Balloon Follow-Up Studies |
| Zdroj: | Journal of interventional cardiology. 17(4) |
| ISSN: | 0896-4327 |
| Popis: | Objectives: Surgery remains the standard option to treat symptomatic or complicated aneurysms of the extracranial internal carotid arteries (EICA). When located more distally to the EICA, surgery appears to be very invasive and disabling. Endovascular treatment of high aneurysmal EICA has been poorly reported. We report our experience in this particular field. Methods: We treated five EICA endovascularly, using covered stents and stentgrafts in four patients, two males and two females. One male was treated bilaterally. The average age was 59.2 years (39–80). Three patients were symptomatic (two transient ischemic attack and one stroke). Patients were followed by duplex scan, CT scan, or angio MR. Results: Protecting devices were used in two cases. No in-hospital complication was observed. During follow-up (3.6 ± 1.3 years), no adverse event was observed and all devices remained patent at duplex scan and angiography. One early endoleak was observed and treated with covered stent extension. No sign of in-stent stenosis was observed. All the aneurysmal sacs thrombosed. Conclusion: Covered stents and stentgrafts allow a less invasive approach to treat highly located internal carotid aneurysms. Larger series are needed to assess the role of covered stents in treating aneurysmal EICA as first choice. |
| Databáze: | OpenAIRE |
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