Department of Vascular Surgery, The First Affiliated Hospital, Sun Yat-sen University, #58 Zhongshan 2nd Road, Guangzhou 510080, China.
Eur J Vasc Endovasc Surg. 2011 Oct;42(4):419-26. doi: 10.1016/j.ejvs.2011.05.008. Epub 2011 Jun 8.
The objective of this study was to systematically review all available published data about endovascular stenting for patients with extracranial carotid artery aneurysm (ECAA).
All clinical reports in the English language on endovascular stenting for ECAA from 1995 through 2010 were identified. General clinical information, aetiology and parameter of carotid artery aneurysm, information regarding devices, indications for endovascular stenting and in-hospital and follow-up data of each patient were extracted individually.
A total of 113 studies, involving a total of 224 patients, were included. Procedure success was reported in 92.8% of patients. Postoperative endoleak was reported in 8.1% of patients. The incidence of stroke was 1.8%. Cranial nerve injury occurred in 0.5%. Overall in-hospital mortality was 4.1%. The mean follow-up was 15.4 ± 15.3 months. Stent-graft patency rate was 93.2%.
Endovascular stenting is technically feasible with high procedure success and relatively low complication rate in patients with ECAA. Both short- and mid-term outcomes appear to be favourable.
本研究旨在系统回顾所有已发表的关于颅外颈动脉动脉瘤（ECAA）患者血管内支架置入术的资料。
检索 1995 年至 2010 年间发表的关于 ECAA 血管内支架置入术的所有英文临床报告。单独提取每位患者的一般临床资料、病因和颈动脉动脉瘤参数、器械信息、血管内支架置入术适应证以及住院和随访资料。
共纳入 113 项研究，共计 224 例患者。92.8%的患者手术成功。8.1%的患者术后出现内漏。卒中发生率为 1.8%。颅神经损伤发生率为 0.5%。总体住院死亡率为 4.1%。平均随访时间为 15.4±15.3 个月。支架移植物通畅率为 93.2%。
血管内支架置入术在 ECAA 患者中具有技术可行性，且手术成功率高，并发症发生率相对较低。短期和中期结果似乎较好。
