Safety of carotid endarterectomy associated with small intracranial aneurysms.
BACKGROUND
The incidence and outcome of combined carotid artery disease and intracranial aneurysm (ICA) are not well reported.


METHODS
Ten patients with combined disease, ICA and symptomatic carotid artery disease, were identified in 209 consecutive angiograms. Five men and five women with a mean age of 68 years and the risk factors of diabetes, hypertension, smoking, cardiac disease, peripheral vascular disease, and hypercholesterolemia formed the basis for this study.


RESULTS
Five patients with carotid endarterectomy (CEA) and arterial aneurysms less than 5 mm and five with carotid stenosis and ICA less than 6 mm were treated with Coumadin; one with combined disease left the hospital without treatment; and one with combined disease died preoperatively of a myocardial infarction. One patient with a 2 cm x 3 cm ICA and carotid had both operated on successfully.


CONCLUSIONS
In this group of patients, CEAs were done safely in patients with ICAs less than 6 mm.
Kann
B R
BR
Allegheny University Hospitals, Allegheny University of the Health Sciences, Philadelphia, PA 19102-1192, USA.
Matsumoto
T
T
Kerstein
M D
MD
D000368:Aged; D000369:Aged, 80 and over; D016893:Carotid Stenosis / Q000150:complications* / Q000601:surgery*; D016894:Endarterectomy, Carotid; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome