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Extracranial Carotid and Vertebral Artery Aneurysms

  • Sachinder Singh Hans
Chapter

Abstract

The incidence of extracranial carotid aneurysms is low (0.3–0.6%). Atherosclerosis is the most common cause followed by connective tissue disorder and fibromuscular dysplasia. The most common presentation is TIA or stroke secondary to embolization. Larger carotid aneurysms can present as pulsatile mass in the neck with compression of adjacent structures and cranial nerves. CTA and catheter-based angiography are helpful in diagnosis and planning treatment. The primary objective of the treatment is resection of the aneurysm and restoring continuity of the internal carotid artery by end-to-end anastomosis or interposition vein graft. The most common postoperative complication is cranial nerve injury.

Vertebral artery aneurysms are extremely rare and are treated by surgical excision or hybrid techniques.

Keywords

Carotid aneurysm Cerebral embolism Cranial nerve injury Vertebral artery aneurysm Interposition graft 

References

  1. 1.
    Srivastava SD, Eagleton MJ, O’Hara P, Kashyap VS, Sarac T, Clair D. Surgical repair of carotid artery aneurysms: a 10-year, single-center experience. Ann Vasc Surg. 2010;24(1):100–5.CrossRefGoogle Scholar
  2. 2.
    Brock RC. Astley Cooper and carotid artery ligation. Guys Hosp Rep. 1968;117(3):219–24.PubMedGoogle Scholar
  3. 3.
    Dimtza A. Aneurysms of the carotid arteries; report of two cases. Angiology. 1956;7(3):218–27.CrossRefGoogle Scholar
  4. 4.
    Fankhauser GT, Stone WM, Fowl RJ, O’Donnell ME, Bower TC, Meyer FB, Money SR. Surgical and medical management of extracranial carotid artery aneurysms. J Vasc Surg. 2015;61(2):389–93.CrossRefGoogle Scholar
  5. 5.
    Zwolak RM, Whitehouse WM Jr, Knake JE, et al. Atherosclerotic extracranial carotid artery aneurysms. J Vasc Surg. 1984;1(3):415–22.CrossRefGoogle Scholar
  6. 6.
    Painter TA, Hertzer NR, Beven EG, O’Hara PJ. Extracranial carotid aneurysms: report of six cases and review of the literature. J Vasc Surg. 1985;2(2):312–8.CrossRefGoogle Scholar
  7. 7.
    El-Sabrout R, Cooley DA. Extracranial carotid artery aneurysms: Texas Heart Institute experience. J Vasc Surg. 2000;31(4):702–12.CrossRefGoogle Scholar
  8. 8.
    Li Z, Chang G, Yao C, Guo L, Liu Y, Wang M, Liu D, Wang S. Endovascular stenting of extracranial carotid artery aneurysm: a systematic review. Eur J Vasc Endovasc Surg. 2011;42(4):419–26.CrossRefGoogle Scholar
  9. 9.
    Morasch MD, Phade SV, Naughton P, Garcia-Toca M, Escobar G, Berguer R. Primary extracranial vertebral artery aneurysms. Ann Vasc Surg. 2013;27(4):418–23.CrossRefGoogle Scholar

Copyright information

© The Author(s) 2018

Authors and Affiliations

  • Sachinder Singh Hans
    • 1
    • 2
    • 3
  1. 1.Medical Director of Vascular and Endovascular ServicesHenry Ford Macomb HospitalClinton TownshipUSA
  2. 2.Chief of Vascular SurgerySt. John Macomb HospitalWarrenUSA
  3. 3.Department of SurgeryWayne State University School of MedicineDetroitUSA

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