Welling R E, Taha A, Goel T, Cranley J, Krause R, Hafner C, Tew J
Surgery. 1983 Feb;93(2):319-23.
Carotid artery aneurysms are rare, however, serious complications may result--namely, rupture, thrombosis, or emboli. Five distinct clinical types of aneurysms are reported with different symptoms and treatment. Fusiform, saccular, false, and mycotic aneurysms are best treated with interposition autogenous vein grafting. Spontaneous dissection aneurysms are best treated initially with anticoagulation and follow-up angiography. Recanalization is the usual result. Meticulous surgical technique to prevent perioperative emboli is essential to prevent central nervous system complications.
颈动脉动脉瘤较为罕见，然而，可能会引发严重并发症，即破裂、血栓形成或栓子。据报道，动脉瘤有五种不同的临床类型，症状和治疗方法各异。梭形、囊状、假性和霉菌性动脉瘤最好采用自体静脉移植术进行治疗。自发性夹层动脉瘤最初最好采用抗凝治疗并进行后续血管造影。再通是常见的结果。预防围手术期栓子形成的精细手术技术对于预防中枢神经系统并发症至关重要。
