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Titolo:
Endoluminal stent placement and coil embolization for the management of carotid artery pseudoaneurysms
Autore:
Bush, RL; Lin, PH; Dodson, TF; Dion, JE; Lumsden, AB;
Indirizzi:
Emory Univ, Sch Med, Dept Surg, Atlanta, GA 30322 USA Emory Univ Atlanta GA USA 30322 Sch Med, Dept Surg, Atlanta, GA 30322 USA Emory Univ, Sch Med, Dept Neuroradiol, Atlanta, GA 30322 USA Emory Univ Atlanta GA USA 30322 , Dept Neuroradiol, Atlanta, GA 30322 USA
Titolo Testata:
JOURNAL OF ENDOVASCULAR THERAPY
fascicolo: 1, volume: 8, anno: 2001,
pagine: 53 - 61
SICI:
1526-6028(200102)8:1<53:ESPACE>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
ENG
Soggetto:
VEIN-COVERED STENT; REPAIR; INJURY; DISSECTION; ANEURYSM;
Keywords:
carotid trauma; neurological symptoms; endovascular repair; Wallstent; Smart stent;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
21
Recensione:
Indirizzi per estratti:
Indirizzo: Lumsden, AB Emory Univ, Sch Med, Div Vasc Surg, 1364 Clifton Rd,Room H124A, Atlanta, GA 30322 USA Emory Univ 1364 Clifton Rd,Room H124A Atlanta GA USA 30322 USA
Citazione:
R.L. Bush et al., "Endoluminal stent placement and coil embolization for the management of carotid artery pseudoaneurysms", J ENDOVAS T, 8(1), 2001, pp. 53-61

Abstract

Purpose: To present a series of carotid artery pseudoaneurysms treated successfully using an endovascular approach. Methods: From April 1995 to November 1999, 5 patients with neurological symptoms not explained by computed tomography of the head were identified by carotid angiography as having internal carotid artery (ICA) pseudoaneurysms. Three patients had sustained blunt trauma, and 2 had previous elective carotid endarterectomies for atherosclerotic disease. The time between injuryand treatment ranged from 3 days to 10 years. The patients were treated with endovascular stent placement for exclusion of the pseudoaneurysm, followed by filling of the cavity with multiple detachable coils. Patients were maintained on oral antiplatelet agents or anticoagulant therapy after the procedure. Results: Primary technical success was 100%. No patient suffered permanentneurological sequelae. Postprocedure angiography demonstrated a patent ICAin all cases, with complete obliteration of the pseudoaneurysm. At a mean 8.4-month follow-up (range 2-21), all patients remained symptom free; angiograms in 3 patients at a mean 11.7 months demonstrated continued ICA patency. One patient had a 60% focal narrowing of the distal common carotid artery, which was treated successfully with balloon dilation and stenting. Conclusions: Endovascular treatment of carotid artery pseudoaneurysms is auseful alternative to standard surgical repair. This modality avoids the necessity for surgical exposure at the skull base with its inherent morbidity.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 15/07/20 alle ore 05:36:09