Tsolaki Elpiniki, Salviato Elisabetta, Rocca Tiberio, Braccini Lucia, Galeotti Roberto, Mascoli Francesco
Ann Vasc Surg. 2010 Oct;24(7):952.e9-952.e12. doi: 10.1016/j.avsg.2010.02.046. Epub 2010 Jul 6.
Carotid pseudoaneurysms are a rare consequence of carotid surgery, trauma, and infection. Historically, carotid aneurysms and pseudoaneurysms were treated surgically. However, endovascular techniques have recently become a valid alternative for the treatment of carotid pseudoaneurysms. The case of a 57-year-old male patient with a pseudoaneurysm of the right internal carotid artery is described. The patient came to our unit with a painless and pulsatile mass in the neck, which was growing slowly. Five years earlier, he had undergone surgery on a saccular aneurysm located on the distal extracranial segment of the right internal carotid artery. The pseudoaneurysm was successfully treated with a heparin surface Viabahn stent-graft system (Gore AL, Flagstaff, AZ). Heparin surface stent-grafts can be used for the treatment of carotid lesions and may offer protection against intimal hyperplasia and thrombosis. Further studies are needed to evaluate the long-term results.
颈动脉假性动脉瘤是颈动脉手术、创伤和感染的罕见后果。历史上，颈动脉动脉瘤和假性动脉瘤通过手术治疗。然而，血管内技术最近已成为治疗颈动脉假性动脉瘤的有效替代方法。本文描述了一名57岁男性患者右颈内动脉假性动脉瘤的病例。该患者因颈部无痛性搏动性肿块前来我院就诊，肿块生长缓慢。五年前，他接受了位于右颈内动脉远端颅外段的囊状动脉瘤手术。使用肝素表面的Viabahn覆膜支架系统（戈尔公司，亚利桑那州弗拉格斯塔夫）成功治疗了假性动脉瘤。肝素表面覆膜支架可用于治疗颈动脉病变，并可能预防内膜增生和血栓形成。需要进一步研究以评估长期效果。
