Troutman Douglas A, Mohan Chittur R, Samhouri Farouq A, Sohn Richard L
Department of General Surgery, Philadelphia College of Osteopathic Medicine, Philadelphia, PA, USA.
Ann Vasc Surg. 2010 Oct;24(7):954.e13-6. doi: 10.1016/j.avsg.2010.03.020.
A 66-year-old Caucasian man with type 2 diabetes mellitus, peptic ulcer disease, peripheral vascular disease, and a 70% symptomatic carotid stenosis underwent a successful carotid endarterectomy with intraoperative shunting and Dacron patch closure in October 2000. Three months later, he developed a pseudoaneurysm at the site of the surgical repair. This was successfully treated with endovascular covered stents and has continued to remain patent at 9-year follow-up. Carotid artery pseudoaneurysms are secondary to trauma, infection, or previous surgery. Open surgical repair has been the treatment of choice for these pseudoaneurysms. However, open repairs are difficult and carry a high morbidity. Thus, endovascular therapy is a valid treatment for carotid artery pseudoaneurysm. Reviewing the published data, this is the first case report with successful endovascular covered stent placement for a carotid pseudoaneurysm with 9-year follow-up.
一名66岁的患有2型糖尿病、消化性溃疡病、外周血管疾病且有70%症状性颈动脉狭窄的白种男性，于2000年10月接受了成功的颈动脉内膜切除术，术中使用分流术并采用涤纶补片修补。三个月后，他在手术修复部位出现了假性动脉瘤。该假性动脉瘤通过血管内覆膜支架成功治疗，在9年的随访中一直保持通畅。颈动脉假性动脉瘤继发于创伤、感染或既往手术。开放手术修复一直是这些假性动脉瘤的首选治疗方法。然而，开放修复困难且发病率高。因此，血管内治疗是颈动脉假性动脉瘤的有效治疗方法。回顾已发表的数据，这是第一例成功放置血管内覆膜支架治疗颈动脉假性动脉瘤并进行9年随访的病例报告。
