Endovascular Treatment and Hybrid Surgery for Extracranial Internal Carotid Artery Aneurysms

IF 1.4 4区医学 Q3 PERIPHERAL VASCULAR DISEASE

Annals of vascular surgery Pub Date : 2025-03-08 DOI:10.1016/j.avsg.2025.02.022

Yiyang Xu , Wei Yang , Xinwei Li , Xun Wang , Dihao Pan , Zhenpeng Yuan , Lei Han , Kaiyuan Huang , Zhenwei Ding , Ziheng Wu , Chenyang Qiu , Xiaohui Wang

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引用次数: 0

Abstract

Background

Extracranial internal carotid artery aneurysms (EICAAs) are rare, and both endovascular treatment and hybrid surgery have been used to treat them. Herein, we evaluated the outcomes of endovascular treatment and hybrid surgery for EICAAs treated at our institution.

Methods

Twenty-eight patients diagnosed with EICAA and treated with endovascular treatment or hybrid surgery in our center from January 2013 to June 2023 were retrospectively reviewed. Clinical characteristics, aneurysm features, perioperative outcomes, and follow-up results were collected and analyzed.

Results

A total of 28 patients with 30 EICAAs received endovascular treatment and hybrid surgery. The mean age of patients was 61.0 years, and 21 patients (75.0%) were male. Fifteen true aneurysms (50.0%) and 15 pseudoaneurysms (50.0%) were detected. Fifteen patients with 15 aneurysms received endovascular treatment and 13 patients with 15 aneurysms received hybrid surgery. The overall technical success rate was 90.0% (27/30). During the perioperative period, one patient (1/15, 6.7%) in the endovascular group experienced a minor stroke. The median follow-up duration was 17.5 months (range, 2–100 months). Excluding the patient who received carotid ligation during surgery, the overall patency rate was 93.1% (27/29) during the follow-up period. One patient (1/15, 6.7%) in the endovascular group experienced a minor ipsilateral stroke. Of the 29 patients with aneurysms receiving stent employment, one (1/29, 3.4%) underwent endovascular reintervention 12 months after the procedure because of severe restenosis.

Conclusion

Endovascular treatment and hybrid surgery are feasible options in the treatment of EICAAs that achieve satisfactory short-term results.

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颅内外颈内动脉瘤的血管内治疗与混合手术。

背景：颅外颈内动脉瘤（EICAAs）是一种罕见的疾病，目前已采用血管内治疗和混合手术治疗。在此，我们评估了血管内治疗和混合手术治疗本院EICAAs的结果。方法：回顾性分析2013年1月至2023年6月在我中心诊断为EICAA并行血管内治疗或混合手术治疗的患者28例。收集并分析临床特征、动脉瘤特征、围手术期结局及随访结果。结果：30例EICAAs患者共28例接受了血管内治疗和混合手术。患者平均年龄61.0岁，男性21例（75.0%）。真动脉瘤15个（50.0%），假性动脉瘤15个（50.0%）。15个动脉瘤的15例接受血管内治疗，15个动脉瘤的13例接受混合手术。总体技术成功率为90.0%（27/30）。围手术期，血管内组1例（1/15,6.7%）发生轻微卒中。中位随访时间为17.5个月（范围2-100个月）。排除术中结扎颈动脉的患者，随访期间总通畅率为93.1%（27/29）。血管内组1例（1/15,6.7%）发生轻微同侧卒中。在29例接受支架置入的动脉瘤患者中，1例（1/ 29,3.4%）因严重再狭窄在手术后12个月进行了血管内再介入治疗。结论：血管内治疗和混合手术是治疗EICAAs的可行选择，近期效果满意。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annals of vascular surgery 医学-外科

CiteScore

3.00

自引率

13.30%

发文量

603

审稿时长

50 days

期刊介绍： Annals of Vascular Surgery, published eight times a year, invites original manuscripts reporting clinical and experimental work in vascular surgery for peer review. Articles may be submitted for the following sections of the journal: Clinical Research (reports of clinical series, new drug or medical device trials) Basic Science Research (new investigations, experimental work) Case Reports (reports on a limited series of patients) General Reviews (scholarly review of the existing literature on a relevant topic) Developments in Endovascular and Endoscopic Surgery Selected Techniques (technical maneuvers) Historical Notes (interesting vignettes from the early days of vascular surgery) Editorials/Correspondence