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Difficult Decisions in Vascular Surgery pp 369–382Cite as

In Patients with Extra-cranial Carotid Artery Aneurysms, Does an Endovascular Approach Improve Clinical Outcomes Compared to Open Repair?

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Part of the book series: Difficult Decisions in Surgery: An Evidence-Based Approach ((DDSURGERY))

Abstract

Extracranial carotid artery aneurysms (ECAAs) are rare but potentially devastating clinical entities, with notable risk of rupture and thromboembolism. ECAA management strategies include open surgery (ligation, clipping, bypass, and resection) as well as endovascular techniques. There are no formal clinical guidelines regarding optimal management of carotid artery aneurysms. However, a review of recent literature suggests that endovascular intervention may be preferable to open surgery, particularly in patients with high-lying aneurysms or a history of ipsilateral surgery or radiation of the neck. More research is needed regarding this important topic.

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Author information

Authors and Affiliations

  1. Department of Surgery, New York Presbyterian Hospital, Columbia University Medical Center, New York, NY, USA

    Marguerite Hoyler MD & Nicholas J. Morrissey MD

Authors
  1. Marguerite Hoyler MD
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  2. Nicholas J. Morrissey MD
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Corresponding author

Correspondence to Nicholas J. Morrissey MD .

Editor information

Editors and Affiliations

  1. The University of Chicago Medical Center and Biological Science Division, Chicago, Illinois, USA

    Christopher L. Skelly

  2. The University of Chicago Medical Center and Biological Science Division, Chicago, Illinois, USA

    Ross Milner

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Hoyler, M., Morrissey, N.J. (2017). In Patients with Extra-cranial Carotid Artery Aneurysms, Does an Endovascular Approach Improve Clinical Outcomes Compared to Open Repair?. In: Skelly, C., Milner, R. (eds) Difficult Decisions in Vascular Surgery. Difficult Decisions in Surgery: An Evidence-Based Approach. Springer, Cham. https://doi.org/10.1007/978-3-319-33293-2_31

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  • DOI: https://doi.org/10.1007/978-3-319-33293-2_31

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-33291-8

  • Online ISBN: 978-3-319-33293-2

  • eBook Packages: MedicineMedicine (R0)

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