A case report of multi-step management of extracranial carotid artery aneurysm and carotid-cavernous fistula combination in patients

Extracranial carotid artery aneurysms (ECAA) and carotid-cavernous fistulas (CCF) are rare arterial pathologies with severe complications and increased risk of mortality. The optimal treatment approach for this combined condition is a topic of debate among neurosurgeons and neuroradiologists, and a...

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Autores principales: Nurimanov, Chingiz, Makhambetov, Yerbol, Kaliyev, Assylbek, Akshulakov, Serik
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Neurology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10115948/
https://www.ncbi.nlm.nih.gov/pubmed/37090990
http://dx.doi.org/10.3389/fneur.2023.1120786
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author Nurimanov, Chingiz
Makhambetov, Yerbol
Kaliyev, Assylbek
Akshulakov, Serik
author_facet Nurimanov, Chingiz
Makhambetov, Yerbol
Kaliyev, Assylbek
Akshulakov, Serik
author_sort Nurimanov, Chingiz
collection PubMed
description Extracranial carotid artery aneurysms (ECAA) and carotid-cavernous fistulas (CCF) are rare arterial pathologies with severe complications and increased risk of mortality. The optimal treatment approach for this combined condition is a topic of debate among neurosurgeons and neuroradiologists, and a standardized treatment protocol has yet to be established. The aim of this case report was to demonstrate the management of a rare combination of ECAA and CCF in patients. The treatment strategy included a two-step procedure of endovascular embolization of CCF followed by dual antiplatelet therapy and endovascular stenting of an aneurysm. Control angiograms showed the exclusion of an aneurysm from the blood circulation and CCF symptoms were resolved.
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spelling pubmed-101159482023-04-21 A case report of multi-step management of extracranial carotid artery aneurysm and carotid-cavernous fistula combination in patients Nurimanov, Chingiz Makhambetov, Yerbol Kaliyev, Assylbek Akshulakov, Serik Front Neurol Neurology Extracranial carotid artery aneurysms (ECAA) and carotid-cavernous fistulas (CCF) are rare arterial pathologies with severe complications and increased risk of mortality. The optimal treatment approach for this combined condition is a topic of debate among neurosurgeons and neuroradiologists, and a standardized treatment protocol has yet to be established. The aim of this case report was to demonstrate the management of a rare combination of ECAA and CCF in patients. The treatment strategy included a two-step procedure of endovascular embolization of CCF followed by dual antiplatelet therapy and endovascular stenting of an aneurysm. Control angiograms showed the exclusion of an aneurysm from the blood circulation and CCF symptoms were resolved. Frontiers Media S.A. 2023-04-06 /pmc/articles/PMC10115948/ /pubmed/37090990 http://dx.doi.org/10.3389/fneur.2023.1120786 Text en Copyright © 2023 Nurimanov, Makhambetov, Kaliyev and Akshulakov. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Neurology
Nurimanov, Chingiz
Makhambetov, Yerbol
Kaliyev, Assylbek
Akshulakov, Serik
A case report of multi-step management of extracranial carotid artery aneurysm and carotid-cavernous fistula combination in patients
title A case report of multi-step management of extracranial carotid artery aneurysm and carotid-cavernous fistula combination in patients
title_full A case report of multi-step management of extracranial carotid artery aneurysm and carotid-cavernous fistula combination in patients
title_fullStr A case report of multi-step management of extracranial carotid artery aneurysm and carotid-cavernous fistula combination in patients
title_full_unstemmed A case report of multi-step management of extracranial carotid artery aneurysm and carotid-cavernous fistula combination in patients
title_short A case report of multi-step management of extracranial carotid artery aneurysm and carotid-cavernous fistula combination in patients
title_sort case report of multi-step management of extracranial carotid artery aneurysm and carotid-cavernous fistula combination in patients
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10115948/
https://www.ncbi.nlm.nih.gov/pubmed/37090990
http://dx.doi.org/10.3389/fneur.2023.1120786
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