Technical options for the treatment of extracranial carotid aneurysms.
Extracranial carotid artery aneurysm (ECAA) is an uncommon but serious condition. The morbidity and mortality of ECAA are assumed to be high when untreated. ECAA treatment presents a challenge because of accessibility of the carotid artery and lack of evidence-based guidelines. When exclusion of the aneurysm is considered, surgical resection of the aneurysm with reconstruction of blood flow is still considered the gold standard. Several alternative and endovascular approaches are discussed.
Department of Vascular Surgery, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands.
Janna C
JC
Welleweerd
Frans L
FL
Moll
Gert Jan
GJ
de Borst
D000783:Aneurysm / Q000175:diagnosis / Q000601:surgery*; D002340:Carotid Artery Diseases / Q000175:diagnosis / Q000601:surgery*; D017536:Carotid Artery, Common / Q000601:surgery; D002342:Carotid Artery, External / Q000601:surgery*; D002343:Carotid Artery, Internal / Q000601:surgery; D002548:Cerebral Revascularization / Q000379:methods* / Q000639:trends; D004621:Embolization, Therapeutic / Q000639:trends; D057510:Endovascular Procedures / Q000639:trends; D006801:Humans; D015607:Stents