title: Extracranial severe carotid stenosis and incidental intracranial aneurysms.
abstract: Among 474 patients having 547 carotid endarterectomies (CEAs) over an 80-month period, 11 (2.3%) with symptomatic (n = 8) and asymptomatic (n = 3) severe (>70%) carotid stenosis had 12 asymptomatic intracranial aneurysms (IAs). None had postoperative stroke or died, and none had surgical or endovascular IA treatment before or after CEA. In an average 5-year follow-up, no patients had subarachnoid hemorrhage. Having an IA does not seem to be an additional risk factor for CEA, nor does CEA seem to increase the chance of IA rupture.
authors.affiliation: Vascular Surgery Section of the Geriatric Surgical Clinic, Department of Surgical and Gastroenterological Sciences, University of Padua, School of Medicine, Padua, Italy. enzo.ballotta@unipd.it
authors.forename: Enzo
authors.initials: E
authors.lastname: Ballotta
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Da Giau
authors.forename: Renzo
authors.initials: R
authors.lastname: Manara
authors.forename: Claudio
authors.initials: C
authors.lastname: Baracchini
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002342:Carotid Artery, External; D016893:Carotid Stenosis / Q000150:complications* / Q000601:surgery*; D016894:Endarterectomy, Carotid; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D011859:Radiography; D016896:Treatment Outcome; D014463:Ultrasonography