title: A tailored approach to operative repair of extracranial carotid aneurysms based on anatomic types and kinks.
abstract: BACKGROUND
  To present outcomes following an operative approach of extracranial carotid artery aneurysm (ECAAs) based on anatomic types and associated kinks.
  
  
  METHODS
  This study represents retrospective analysis of anatomic type based approach to operative repair of 84 patients with ECAA from 1994 to 2011, 28 (33.3%) with associated kinking. Patients were followed for neurological ischemic events, hematoma, cranial nerve injury, myocardial infarction, neurological, and overall mortality. The results are presented as early, within 30 days after the surgery, and long term during the follow-up.
  
  
  RESULTS
  In the early postoperative period, there were no strokes or mortalities, cranial nerve injury rate was 2.4% while 1 patient had myocardial infarction (1.2%). During the follow-up, 4 patients (4.8%) had stroke, out of which 2 patients died (2.3%), while overall mortality was 4.6%. The average 5-year survival rate was 96 ± 3%.
  
  
  CONCLUSIONS
  Excellent outcomes can be obtained with surgical repair of ECAA, which should be tailored to the anatomic types and presence of kinks.
authors: Vascular Surgery Clinic, "Dedinje" Cardiovascular Institute, University of Belgrade, Belgrade, Serbia; Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
authors: Djordje
authors: D
authors: Radak
authors: Faculty of Medicine, University of Belgrade, Belgrade, Serbia; Clinic for Vascular and Endovascular Surgery, Clinical Centre of Serbia, Belgrade, Serbia.
authors: Lazar
authors: L
authors: Davidovic
authors: Vascular Surgery Clinic, "Dedinje" Cardiovascular Institute, University of Belgrade, Belgrade, Serbia. Electronic address: drslobex@yahoo.com.
authors: Slobodan
authors: S
authors: Tanaskovic
authors: Clinic for Vascular and Endovascular Surgery, Clinical Centre of Serbia, Belgrade, Serbia.
authors: Igor
authors: I
authors: Banzic
authors: Vascular Surgery Clinic, "Dedinje" Cardiovascular Institute, University of Belgrade, Belgrade, Serbia.
authors: Predrag
authors: P
authors: Matic
authors: Vascular Surgery Clinic, "Dedinje" Cardiovascular Institute, University of Belgrade, Belgrade, Serbia.
authors: Srdjan
authors: S
authors: Babic
authors: Faculty of Medicine, University of Belgrade, Belgrade, Serbia; Clinic for Vascular and Endovascular Surgery, Clinical Centre of Serbia, Belgrade, Serbia.
authors: Dusan
authors: D
authors: Kostic
authors: Vinca Institute, Laboratory for Molecular Genetics and Radiobiology, University of Belgrade, Belgrade, Serbia.
authors: Esma R
authors: ER
authors: Isenovic
mesh_terms: D000368:Aged; D000783:Aneurysm / Q000473:pathology / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D002340:Carotid Artery Diseases / Q000473:pathology / Q000601:surgery*; D002342:Carotid Artery, External; D002343:Carotid Artery, Internal; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: Carotid artery aneurysm; Internal carotid artery kinking; Surgery