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• W2616012312 abstract "This study investigated the early and long-term results of surgical and endovascular therapy of extracranial carotid artery aneurysms (ECAA). A retrospective review of patients diagnosed with ECAA who underwent surgery from 1997 to 2016 was performed. Symptoms, aneurysm classification, etiology, treatments, and outcomes were reviewed. During the study period, 44 patients with ECAA underwent surgical interventions. The mean age was 52 years (range, 19-75 years), and 18 patients (41%) were men. There were 30 true aneurysms (68%) and 14 pseudoaneurysms (32%). Five aneurysms (11%) were asymptomatic, whereas 39 (89%) had symptoms (22 pulsatile masses, 9 local compressions, 4 strokes, 3 transient ischemic attacks, 1 rupture). Among 44 patients, 29 patients (66%) underwent open surgical treatment (op), whereas endovascular treatment (endo) was undertaken in 15 patients (34%). Surgical procedures were technically successful in all cases. In op group, 10 patients received aneurysm resection with succeeding end-to-end anastomosis. Interposition bypass grafting was performed in 10 patients, either with prosthesis or autogenous grafts. Two patients received ligation. Aneurysm resection and vein patch repair was performed in two patients. In the endo group, three patients received bare stents, and 12 patients received covered stents. Hospital length of stay was significantly shorter in endo group than in the op group (14 ± 2.7 vs 30 ± 17.0 days; P = .017). The incidence of cranial nerve injury in the endo and op groups were 17.2% vs 0% (P = .088), respectively. The 30-day stroke/transient ischemic attack rates in the op and endo groups were 6.9% vs 0% (P = .298), respectively. During a mean follow-up of 3.5 years (range, 3 months-18 years), no patient suffered death or major morbidity related to the aneurysm. In the op group, one permanent cranial nerve injury was recorded, and one patient suffered from transient ischemic attack 7 years after surgery. In the endo group, all aneurysms were completely excluded, and all patients were free from neurologic or other adverse events. In our series, endovascular stenting for ECAA was found to be safe and effective and proved to have promising midterm results. Although long-term results need to be further explored, advantages, including fewer procedure-related complications and a shorter recovery time, make endovascular stenting an attractive option for ECAA, especially for patients who are unfit for traditional open surgery." @default.
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• W2616012312 date "2017-06-01" @default.
• W2616012312 modified "2023-09-27" @default.
• W2616012312 title "IF02. Surgical and Endovascular Treatment of Extracranial Carotid Artery Aneurysms: Early and Long-Term Outcome and Experience of a Single Center" @default.
• W2616012312 doi "https://doi.org/10.1016/j.jvs.2017.03.064" @default.
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