Open and endovascular repair of aneurysms affecting the distal extracranial internal carotid artery: case series

Three cases of internal carotid artery aneurysm affecting the distal cervical segment were retrospectively reviewed. Two patients underwent open surgical repair requiring petrous segment exposure for bypass of the affected segment using a Fisch type A lateral skull base approach. The third patient u...

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Bibliographic Details
Published in:Journal of laryngology and otology 2016-07, Vol.130 (S4), p.S29-S34
Main Authors: Mukherjee, P, Huilgol, R, Graham, A, Fagan, P
Format: Article
Language:English
Subjects:
Aged
Aneurysm - diagnostic imaging
Aneurysm - surgery
Aneurysms
Carotid arteries
Carotid Artery Diseases - diagnostic imaging
Carotid Artery Diseases - surgery
Carotid Artery, Internal - diagnostic imaging
Carotid Artery, Internal - surgery
Computed Tomography Angiography
Endovascular Procedures - adverse effects
Endovascular Procedures - methods
Humans
Ischemia
Length of stay
Magnetic Resonance Angiography
Magnetic resonance imaging
Main Articles
Male
Middle Aged
Ostomy
Patients
Retrospective Studies
Stents
Thromboembolism
Tomography
Veins & arteries
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Description
Summary:Three cases of internal carotid artery aneurysm affecting the distal cervical segment were retrospectively reviewed. Two patients underwent open surgical repair requiring petrous segment exposure for bypass of the affected segment using a Fisch type A lateral skull base approach. The third patient underwent endovascular stenting. There were no cerebrovascular complications post-operatively. Both open repair patients experienced temporary lower cranial nerve palsies. One required facial nerve grafting. All patients had patent grafts at follow up. The stent graft patient had a small endoleak at six months. Endovascular and open approaches both have advantages and disadvantages. Treatment needs to be tailored to the lesion and the patient. An open surgical approach is difficult but well established. Endovascular treatment of these lesions is a relatively recent technique, and new cases need to be continually reported with a view to attaining long-term data.
ISSN:0022-2151
1748-5460
DOI:10.1017/S0022215116000694