title: Use of the Gore Hybrid Vascular Graft in a challenging high-lying extracranial carotid artery aneurysm.
abstract: Extracranial carotid artery aneurysm is a rare condition with relatively significant morbidity and mortality. When surgery is not indicated, endovascular techniques are emerging as the preferred treatment. However, even this approach may be contraindicated due to anatomic factors. We present a case of a high-lying extracranial carotid artery aneurysm with challenging anatomy unsuitable for conventional or endovascular repair. After resecting the aneurysm, the carotid artery was revascularized using the new Gore Hybrid Vascular Graft (W. L. Gore & Associates, Flagstaff, Ariz). This straightforward procedure turned out to be safe and further reduced the cerebral ischemic time.
authors.affiliation: Division of Vascular Surgery, Ospedali Riuniti di Ancona, Ancona, Italy. Electronic address: gl.nigro82@gmail.com.
authors.forename: Gianluigi
authors.initials: G
authors.lastname: Nigro
authors.affiliation: Division of Vascular Surgery, Ospedali Riuniti di Ancona, Ancona, Italy.
authors.forename: Emanuele
authors.initials: E
authors.lastname: Gatta
authors.affiliation: Division of Vascular Surgery, Ospedali Riuniti di Ancona, Ancona, Italy.
authors.forename: Gabriele
authors.initials: G
authors.lastname: Pagliariccio
authors.affiliation: Division of Vascular Surgery, Ospedali Riuniti di Ancona, Ancona, Italy.
authors.forename: Carlo
authors.initials: C
authors.lastname: Grilli
authors.affiliation: Division of Vascular Surgery, Ospedali Riuniti di Ancona, Ancona, Italy.
authors.forename: Luciano
authors.initials: L
authors.lastname: Carbonari
mesh_terms: D000368:Aged; D000783:Aneurysm / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D002339:Carotid Arteries / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D002340:Carotid Artery Diseases / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D057510:Endovascular Procedures / Q000295:instrumentation*; D005260:Female; D006801:Humans; D011474:Prosthesis Design; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color; D014654:Vascular Patency