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KMID : 1005420110130030177
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Journal of Cerebrovascular and Endovascular Neurosurgery
2011 Volume.13 No. 3 p.177 ~ p.183
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Extracranial Carotid Artery Aneurysm:Various Therapeutic Options and Outcome
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Choi Ho-Yong
Oh Chang-Wan
Bang Jae-Seung
Kwon O-Ki
Kim Jeong-Eun
Kang Hyun-Seung
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Abstract
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Objective: Extracranial carotid artery aneurysm is a rare vascular disease. In this study, we present our experience with extracranial carotid artery aneurysm and we review the related articles with addressing different treatment options and their results.
Methods: Between 2003 and 2011, 11 patients (mean age : 52.7 years) were diagnosed to harbor extracranial carotid artery aneurysms. Five patients underwent various surgeries and 2 patients were treated by endovascular methods. Four patients were managed conservatively.
Results: There were no perioperative/periprocedural mortality or morbidity related to the treatment of extracranial carotid artery aneurysms. During follow-up (mean follow-up : 39.3months), 1 patient died of an unrelated cause and 2 other patients underwent stenting and/or angioplasty due to asymptomatic progressive stenosis of the treated site.
Conclusion: Aneurysm can be treated with low periprocedural risk by utilizing various therapeutic modalities. Long-term follow-up is mandatory to check for stenosis around the treatment site.
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KEYWORD
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Extracranial, External, Carotid, Aneurysm, Surgery, Endovascular
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