Welleweerd Janna C, Moll Frans L, de Borst Gert Jan
Department of Vascular Surgery, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands.
Expert Rev Cardiovasc Ther. 2012 Jul;10(7):925-31. doi: 10.1586/erc.12.61.
Extracranial carotid artery aneurysm (ECAA) is an uncommon but serious condition. The morbidity and mortality of ECAA are assumed to be high when untreated. ECAA treatment presents a challenge because of accessibility of the carotid artery and lack of evidence-based guidelines. When exclusion of the aneurysm is considered, surgical resection of the aneurysm with reconstruction of blood flow is still considered the gold standard. Several alternative and endovascular approaches are discussed.
颅外颈动脉动脉瘤（ECAA）是一种罕见但严重的疾病。未经治疗时，ECAA的发病率和死亡率被认为很高。由于颈动脉的可及性以及缺乏循证指南，ECAA的治疗面临挑战。当考虑排除动脉瘤时，通过重建血流对动脉瘤进行手术切除仍被视为金标准。文中讨论了几种替代方法和血管内治疗方法。
