Journal of Vascular Surgery Cases and Innovative Techniques (Jun 2023)

Hybrid treatment of large extracranial carotid artery aneurysm

  • Francesca Montanari, MD,
  • Luigi Venturini, MD, PhD,
  • Iacopo Valente, MD,
  • Marta Minucci, MD,
  • Tommaso Donati, MD,
  • Yamume Tshomba, MD

Journal volume & issue
Vol. 9, no. 2
p. 101117

Abstract

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An extracranial carotid artery aneurysm (ECAA) is a rare condition. The major complications are rupture and thromboembolism. Therefore, treatment is generally recommended. We report the case of a young woman affected by an ECAA, with a cervical pulsatile mass. A multidisciplinary evaluation was performed to ensure the best treatment in terms of safety and efficacy, and the patient underwent hybrid treatment. The 6-month computed tomography angiogram revealed patency of the carotid artery stents and the venous graft, in the absence of any relevant complications. An ECAA is a serious clinical condition. The treatment is challenging, and a multidisciplinary evaluation and precise planning are recommended.

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