title: Open surgical and endovascular treatment of extracranial internal carotid artery aneurysms.
abstract: Internal carotid artery (ICA) aneurysms are rare. The symptoms are related to cerebral embolization, local compression and rupture. Options for treatment include open surgery or endovascular treatment with a covered stent. We report a case of a 67 year old woman with bilateral idiopathic internal carotid artery aneurysms, found during the diagnostic evaluation for an episode of syncope. The right ICA aneurysm was treated with resection and end-to-end anastomosis of the ICA. There were no perioperative complications. Six months later the patient underwent endovascular repair of left carotid artery aneurysm with a covered stent. There were no complications in postoperative period. Treatment options for ICA aneurysms are surgical or endovascular, depending of size, location and anatomic relation to surrounding structures.
authors: Department of Vascular Surgery, University Hospital Merkur, Zagreb, Croatia.
authors: Andrija Skopljanac
authors: AS
authors: Macina
authors: Vinko
authors: V
authors: Vidjak
authors: Lidija
authors: L
authors: Erdelez
authors: Slaven
authors: S
authors: Suknaić
authors: Slavko
authors: S
authors: Gasparov
authors: Karlo
authors: K
authors: Novacić
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical; D000783:Aneurysm / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D002340:Carotid Artery Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D011859:Radiography; D015607:Stents; D013575:Syncope / Q000209:etiology; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures