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经颈入路治疗颅外段颈内动脉远端动脉瘤

Transcervical approach to distal extracranial internal carotid aneurysm.

作者信息

AbouAyash Joseph, Greif Benjamin, Salzler Gregory, Ryer Evan, Garvin Robert

机构信息

Geisinger Commonwealth School of Medicine, Scranton, PA.

Department of Vascular and Endovascular Surgery, Geisinger Medical Center, Danville, PA.

出版信息

J Vasc Surg Cases Innov Tech. 2024 Feb 27;10(3):101463. doi: 10.1016/j.jvscit.2024.101463. eCollection 2024 Jun.

DOI:10.1016/j.jvscit.2024.101463
PMID:38544967
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10965468/
Abstract

We report the case of a 77-year-old woman presenting with an asymptomatic internal carotid artery (ICA) aneurysm arising at the skull base. The distal right extracranial ICA aneurysm presented as a challenging case due to difficulty in obtaining adequate surgical exposure and preserving the facial nerves present near the ICA aneurysm. Transcervical open repair with a team of vascular and otolaryngology surgeons was completed successfully. In this report, we detail the operative steps needed to complete this exposure and our perioperative management.

摘要

我们报告了一例77岁女性患者,其颅底出现无症状的颈内动脉(ICA)动脉瘤。右侧颈内动脉远端颅外动脉瘤是一个具有挑战性的病例,因为难以获得足够的手术暴露并保留颈内动脉动脉瘤附近的面神经。血管外科和耳鼻喉科外科医生团队成功完成了经颈部开放修复手术。在本报告中,我们详细介绍了完成此暴露所需的手术步骤以及我们的围手术期管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f5c/10965468/ac27c4b3bd03/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f5c/10965468/f5dc0d14eecf/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f5c/10965468/350ce1262deb/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f5c/10965468/329bce03ec85/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f5c/10965468/ac27c4b3bd03/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f5c/10965468/f5dc0d14eecf/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f5c/10965468/350ce1262deb/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f5c/10965468/329bce03ec85/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f5c/10965468/ac27c4b3bd03/gr4.jpg

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本文引用的文献

1
Systematic Review of the Influence of Anatomy and Aneurysm Type on Treatment Choice and Outcomes in Extracranial Carotid Artery Aneurysms.系统评价颅外颈动脉动脉瘤解剖结构和动脉瘤类型对治疗选择和结果的影响。
Ann Vasc Surg. 2022 Jul;83:349-357. doi: 10.1016/j.avsg.2022.02.006. Epub 2022 Mar 4.
2
Carotid Aneurysm Review.颈动脉动脉瘤综述
Int J Angiol. 2019 Mar;28(1):17-19. doi: 10.1055/s-0039-1677675. Epub 2019 Feb 27.
3
Open and endovascular repair of aneurysms affecting the distal extracranial internal carotid artery: case series.
影响颅外颈内动脉远端的动脉瘤的开放手术和血管内修复:病例系列
J Laryngol Otol. 2016 Jul;130 Suppl 4:S29-34. doi: 10.1017/S0022215116000694.
4
Skull base approach to carotid artery lesions: technique, indications, and outcomes.颅底入路治疗颈动脉病变:技术、适应证及疗效
J Neurol Surg B Skull Base. 2012 Jun;73(3):163-7. doi: 10.1055/s-0032-1301401.
5
Endovascular stenting of extracranial carotid artery aneurysm: a systematic review.颅内颈动脉动脉瘤的血管内支架治疗:系统评价。
Eur J Vasc Endovasc Surg. 2011 Oct;42(4):419-26. doi: 10.1016/j.ejvs.2011.05.008. Epub 2011 Jun 8.
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Open surgical reconstruction of the internal carotid artery aneurysm at the base of the skull.颅底颈内动脉动脉瘤的开放式外科重建。
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Aneurysms of the carotid artery.颈动脉动脉瘤
Semin Vasc Surg. 2005 Dec;18(4):178-83. doi: 10.1053/j.semvascsurg.2005.09.002.
8
Endovascular repair of an extracranial internal carotid artery aneurysm complicated by heparin-induced thrombocytopenia and thrombosis.肝素诱导的血小板减少症和血栓形成并发的颅外颈内动脉瘤的血管内修复。
J Endovasc Ther. 2000 Oct;7(5):353-8. doi: 10.1177/152660280000700502.
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Extracranial carotid artery aneurysms: Texas Heart Institute experience.颅外颈动脉动脉瘤:德克萨斯心脏研究所的经验
J Vasc Surg. 2000 Apr;31(4):702-12. doi: 10.1067/mva.2000.104101.
10
Atherosclerotic extracranial carotid artery aneurysms.动脉粥样硬化性颅外颈动脉动脉瘤
J Vasc Surg. 1984 May;1(3):415-22.