Corbin Michael A, Alie-Cusson Fanny S, Dexter David J, Rathore Animesh, Shah Rasesh M, Panneton Jean M
Division of Vascular Surgery, Eastern Virginia Medical School, Norfolk, Va.
J Vasc Surg Cases Innov Tech. 2021 Feb 4;7(2):249-252. doi: 10.1016/j.jvscit.2020.12.020. eCollection 2021 Jun.
We present the novel application of transcarotid artery revascularization (TCAR) in two high-risk patients with high-grade internal artery stenosis and concomitant atherosclerotic extracranial carotid artery aneurysms (ECAAs). ECAAs account for <1% of arterial aneurysms and are usually clinically silent at presentation. Historically, the treatment of ECAAs has been via open reconstruction or stent grafting. TCAR is an effective alternative for carotid revascularization in high-risk patients with high-grade carotid stenosis, but has not been widely used for aneurysmal management. We report two cases to describe our management of concomitant carotid stenoses and ECCA with TCAR.
我们介绍了经颈动脉血管重建术（TCAR）在两名患有严重颈内动脉狭窄并伴有颅外颈动脉粥样硬化性动脉瘤（ECAA）的高危患者中的新应用。ECAA占动脉性动脉瘤的比例不到1%，通常在发病时临床上没有症状。从历史上看，ECAA的治疗方法是开放重建或支架植入。TCAR是高危重度颈动脉狭窄患者颈动脉血管重建的有效替代方法，但尚未广泛用于动脉瘤的治疗。我们报告两例病例，描述我们使用TCAR治疗合并颈动脉狭窄和ECAA的情况。
