Cargando…
Viabahn-assisted sutureless anastomosis (VASA) repair of a complex internal carotid artery aneurysm
Extracranial carotid artery aneurysms (CAAs) are extremely rare and often require surgical intervention to avoid complications such as local compression symptoms and thrombo-embolization. We present the case of a 63-year-old man with a history of hypertension, meningioma, and an incidental finding o...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10160778/ https://www.ncbi.nlm.nih.gov/pubmed/37152913 http://dx.doi.org/10.1016/j.jvscit.2023.101161 |
_version_ | 1785037356431048704 |
---|---|
author | Arzola, Luis H. Mani, Kevin Zuccon, Gianmarco Ekberg, Tomas Wanhainen, Anders |
author_facet | Arzola, Luis H. Mani, Kevin Zuccon, Gianmarco Ekberg, Tomas Wanhainen, Anders |
author_sort | Arzola, Luis H. |
collection | PubMed |
description | Extracranial carotid artery aneurysms (CAAs) are extremely rare and often require surgical intervention to avoid complications such as local compression symptoms and thrombo-embolization. We present the case of a 63-year-old man with a history of hypertension, meningioma, and an incidental finding of a right saccular internal carotid artery aneurysm at the base of the skull. He underwent open surgical repair; nonetheless, end-to-end anastomosis was not feasible. As bailout, the internal carotid artery was successfully reconstructed with a novel Viabahn-assisted sutureless anastomosis technique (GORE, Viabahn). Postoperative clinical assessment revealed no complications, postoperative computed tomography angiography revealed a patent reconstruction, and the patient was discharged home uneventfully with 1-year clinical and computed tomography angiography follow-up without remarks. Hybrid procedure is a viable option for technically challenging carotid anastomoses near the skull base. |
format | Online Article Text |
id | pubmed-10160778 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-101607782023-05-06 Viabahn-assisted sutureless anastomosis (VASA) repair of a complex internal carotid artery aneurysm Arzola, Luis H. Mani, Kevin Zuccon, Gianmarco Ekberg, Tomas Wanhainen, Anders J Vasc Surg Cases Innov Tech Innovative Techniques Extracranial carotid artery aneurysms (CAAs) are extremely rare and often require surgical intervention to avoid complications such as local compression symptoms and thrombo-embolization. We present the case of a 63-year-old man with a history of hypertension, meningioma, and an incidental finding of a right saccular internal carotid artery aneurysm at the base of the skull. He underwent open surgical repair; nonetheless, end-to-end anastomosis was not feasible. As bailout, the internal carotid artery was successfully reconstructed with a novel Viabahn-assisted sutureless anastomosis technique (GORE, Viabahn). Postoperative clinical assessment revealed no complications, postoperative computed tomography angiography revealed a patent reconstruction, and the patient was discharged home uneventfully with 1-year clinical and computed tomography angiography follow-up without remarks. Hybrid procedure is a viable option for technically challenging carotid anastomoses near the skull base. Elsevier 2023-03-20 /pmc/articles/PMC10160778/ /pubmed/37152913 http://dx.doi.org/10.1016/j.jvscit.2023.101161 Text en © 2023 The Author(s) https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Innovative Techniques Arzola, Luis H. Mani, Kevin Zuccon, Gianmarco Ekberg, Tomas Wanhainen, Anders Viabahn-assisted sutureless anastomosis (VASA) repair of a complex internal carotid artery aneurysm |
title | Viabahn-assisted sutureless anastomosis (VASA) repair of a complex internal carotid artery aneurysm |
title_full | Viabahn-assisted sutureless anastomosis (VASA) repair of a complex internal carotid artery aneurysm |
title_fullStr | Viabahn-assisted sutureless anastomosis (VASA) repair of a complex internal carotid artery aneurysm |
title_full_unstemmed | Viabahn-assisted sutureless anastomosis (VASA) repair of a complex internal carotid artery aneurysm |
title_short | Viabahn-assisted sutureless anastomosis (VASA) repair of a complex internal carotid artery aneurysm |
title_sort | viabahn-assisted sutureless anastomosis (vasa) repair of a complex internal carotid artery aneurysm |
topic | Innovative Techniques |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10160778/ https://www.ncbi.nlm.nih.gov/pubmed/37152913 http://dx.doi.org/10.1016/j.jvscit.2023.101161 |
work_keys_str_mv | AT arzolaluish viabahnassistedsuturelessanastomosisvasarepairofacomplexinternalcarotidarteryaneurysm AT manikevin viabahnassistedsuturelessanastomosisvasarepairofacomplexinternalcarotidarteryaneurysm AT zuccongianmarco viabahnassistedsuturelessanastomosisvasarepairofacomplexinternalcarotidarteryaneurysm AT ekbergtomas viabahnassistedsuturelessanastomosisvasarepairofacomplexinternalcarotidarteryaneurysm AT wanhainenanders viabahnassistedsuturelessanastomosisvasarepairofacomplexinternalcarotidarteryaneurysm |