A tailored approach to operative repair of extracranial carotid aneurysms based on anatomic types and kinks.
作者信息
Radak Djordje, Davidovic Lazar, Tanaskovic Slobodan, Banzic Igor, Matic Predrag, Babic Srdjan, Kostic Dusan, Isenovic Esma R
机构信息
Vascular Surgery Clinic, "Dedinje" Cardiovascular Institute, University of Belgrade, Belgrade, Serbia; Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
Faculty of Medicine, University of Belgrade, Belgrade, Serbia; Clinic for Vascular and Endovascular Surgery, Clinical Centre of Serbia, Belgrade, Serbia.
出版信息
Am J Surg. 2014 Aug;208(2):235-42. doi: 10.1016/j.amjsurg.2013.10.025. Epub 2014 Jan 17.
BACKGROUND
To present outcomes following an operative approach of extracranial carotid artery aneurysm (ECAAs) based on anatomic types and associated kinks.
METHODS
This study represents retrospective analysis of anatomic type based approach to operative repair of 84 patients with ECAA from 1994 to 2011, 28 (33.3%) with associated kinking. Patients were followed for neurological ischemic events, hematoma, cranial nerve injury, myocardial infarction, neurological, and overall mortality. The results are presented as early, within 30 days after the surgery, and long term during the follow-up.
RESULTS
In the early postoperative period, there were no strokes or mortalities, cranial nerve injury rate was 2.4% while 1 patient had myocardial infarction (1.2%). During the follow-up, 4 patients (4.8%) had stroke, out of which 2 patients died (2.3%), while overall mortality was 4.6%. The average 5-year survival rate was 96 ± 3%.
CONCLUSION
Excellent outcomes can be obtained with surgical repair of ECAA, which should be tailored to the anatomic types and presence of kinks.
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