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Titolo:
Management of extracranial carotid artery aneurysms: 17 years' experience
Autore:
Zhang, Q; Duan, ZQ; Xin, SJ; Wang, XW; Dong, YT;
Indirizzi:
China Med Univ, Teaching Hosp 1, Dept Surg, Shenyang 110001, Peoples R China China Med Univ Shenyang Peoples R China 110001 g 110001, Peoples R China
Titolo Testata:
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
fascicolo: 2, volume: 18, anno: 1999,
pagine: 162 - 165
SICI:
1078-5884(199908)18:2<162:MOECAA>2.0.ZU;2-9
Fonte:
ISI
Lingua:
ENG
Keywords:
carotid artery; aneurysm; autogenous vein; resection;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
12
Recensione:
Indirizzi per estratti:
Indirizzo: Zhang, Q China Med Univ, Teaching Hosp 1, Dept Surg, Shenyang 110001, Peoples R China China Med Univ Shenyang Peoples R China 110001 Peoples R China
Citazione:
Q. Zhang et al., "Management of extracranial carotid artery aneurysms: 17 years' experience", EUR J VAS E, 18(2), 1999, pp. 162-165

Abstract

Objectives: a retrospective review of seventeen-year (1960-1996) experience of the management of extracranial carotid artery aneurysms. Patients and methods: sixty-six aneurysms of extracranial carotid artery were seen in 63 patients. The diagnosis was confirmed by angiography in 51 patients and duplex ultrasonography in twelve. Twenty-eight (42%) patients had an atherosclerotic aneurysm, twenty-two (33%) had false aneurysms secondary to trauma, nine were congenital and seven were mycotic. All underwent aneurysm resection with saphenous-vein-graft interposition as the most common means of reconstruction. Results: one death occurred due to septicaemia in a diabetic patient with a mycotic aneurysm, giving all operative mortality of 1.5%. One patient hadan immediate hemisparesis after carotid artery ligation, and three had a hemiparesis within 48 hours of operation (6.1%). After a change in techniqueto avoid a residual carotid stump, no further neurological problems were encountered in the following 28 patients. Conclusion: extracranial carotid aneurysms may be successfully managed with resection and reconstruction with autogenous saphenous vein. End-to-side anastomosis avoids a blind-ending stump which may be the source of emboli.

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Documento generato il 04/12/20 alle ore 16:06:47