Pulli Raffaele, Dorigo Walter, Pratesi Giovanni, Fargion Aaron, Pratesi Carlo
Department of Vascular Surgery, University of Florence, Florence, Italy.
Ann Vasc Surg. 2013 Jul;27(5):672.e13-7. doi: 10.1016/j.avsg.2012.07.028.
In the period ranging from 2006 to 2010, 5 endovascular interventions for carotid pseudoaneurysm (4 post-carotid endarterectomy [post-CEA] and 1 posttraumatic), without signs of infection, were carried out. All patients were neurologically asymptomatic. A covered stent was used in 4 cases. The fifth patient, undergoing a third endovascular procedure after a re-do open surgical repair of a post-CEA pseudoaneurysm, was treated with a bare stent. The technical success rate was 100%. A type 1 endoleak at the end of the procedure was observed in 1 patient, but it disappeared before discharging. No perioperative neurologic events occurred. At the most recent mean follow-up of 24 months, all patients are alive, without neurologic symptoms, and all have maintained patency of the internal carotid artery and are pseudoaneurysm-free.
在2006年至2010年期间，对5例颈动脉假性动脉瘤进行了血管内介入治疗（4例为颈动脉内膜切除术后[CEA术后]，1例为创伤后），均无感染迹象。所有患者神经功能均无症状。4例使用了覆膜支架。第五例患者在CEA术后假性动脉瘤再次开放手术修复后接受第三次血管内手术，使用了裸支架。技术成功率为100%。1例患者在术后出现1型内漏，但在出院前消失。未发生围手术期神经事件。在最近平均24个月的随访中，所有患者均存活，无神经症状，均保持颈内动脉通畅且无假性动脉瘤。
