Journal of Cerebrovascular and Endovascular Neurosurgery

Korean Society of Cerebravascular Surgeons (대한뇌혈관외과학회)
권호 표지

Extracranial Carotid Artery Aneurysm : Various Therapeutic Options and Outcome

두개외경동맥류 : 다양한 치료 방법과 치료 결과

  • Choi, Ho Yong (Department of Neurosurgery, Seoul National University Hospital) ;
  • Oh, Chang Wan (Department of Neurosurgery, Seoul National University Bundang Hospital) ;
  • Bang, Jae Seung (Department of Neurosurgery, Seoul National University Bundang Hospital) ;
  • Kwon, O-Ki (Department of Neurosurgery, Seoul National University Bundang Hospital) ;
  • Kim, Jeong Eun (Department of Neurosurgery, Seoul National University Hospital) ;
  • Kang, Hyun-Seung (Department of Neurosurgery, Seoul National University Hospital)
  • 최호용 (서울대학교병원 신경외과) ;
  • 오창완 (분당서울대학교병원 신경외과) ;
  • 방재승 (분당서울대학교병원 신경외과) ;
  • 권오기 (분당서울대학교병원 신경외과) ;
  • 김정은 (서울대학교병원 신경외과) ;
  • 강현승 (서울대학교병원 신경외과)
  • Published : 2011.09.30
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Abstract

Objective : Extracranial carotid artery aneurysm is a rare vascular disease. In this study, we present our experience with extracranial carotid artery aneurysm and we review the related articles with addressing different treatment options and their results. Methods : Between 2003 and 2011, 11 patients (mean age : 52.7 years) were diagnosed to harbor extracranial carotid artery aneurysms. Five patients underwent various surgeries and 2 patients were treated by endovascular methods. Four patients were managed conservatively. Results : There were no perioperative/periprocedural mortality or morbidity related to the treatment of extracranial carotid artery aneurysms. During follow-up (mean follow-up : 39.3 months), 1 patient died of an unrelated cause and 2 other patients underwent stenting and/or angioplasty due to asymptomatic progressive stenosis of the treated site. Conclusion : Aneurysm can be treated with low periprocedural risk by utilizing various therapeutic modalities. Long-term follow-up is mandatory to check for stenosis around the treatment site.

Keywords

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