Presentation and management of carotid artery aneurysms and pseudoaneurysms

Karan Garg, Caron B. Rockman, Victoria Lee, Thomas S. Maldonado, Glenn R. Jacobowitz, Mark A. Adelman, Firas F. Mussa

Research output: Contribution to journalArticle

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Abstract

Objective: The objective of this study was to review a single-institution contemporary experience with extracranial aneurysms of the carotid artery. Methods: A retrospective review was conducted of patients evaluated for an aneurysm of the extracranial carotid artery from 2005 to 2010. Demographics, presentation, and operative management were reviewed. The mean follow-up was 22 months (range, 1-58 months). Results: Over the study period, 16 aneurysms and pseudoaneurysms were identified in 15 patients. Of these, 14 aneurysms (in six men and eight women with mean age of 63 years) underwent surgical repair. The mean aneurysm size was 2.45 cm (range, 0.8-5 cm). One aneurysm (7.1%) was associated with neurologic symptoms, and 13 were asymptomatic. The underlying etiology was trauma in five (35.7%), prior carotid endarterectomy in five (35.7%), and degenerative atherosclerosis in four (28.6%). Aneurysms were isolated to the common carotid artery in six (42.9%), internal carotid artery in five (35.7%), and carotid bifurcation in three (21.4%). Five patients underwent aneurysmectomy with primary repair, seven underwent repair with an interposition graft, one required an innominate to common carotid artery bypass, and one patient had a plication and patch angioplasty. No mortalities or neurologic events were documented within 30 days. One patient had transient cranial nerve palsy. One patient required reintervention at 4 months for stenosis of the bypass graft, and one patient died at 10 months from an unrelated condition. There were no neurologic events on follow-up. Conclusions: Carotid artery aneurysms and pseudoaneurysms are uncommon and usually asymptomatic. Prior trauma and carotid surgery were common etiologies. The location of the aneurysms was equally distributed between the internal and common carotid arteries. Surgical repair was safe and effective with no significant morbidity or mortality and good midterm stroke prevention.

Original languageEnglish (US)
Pages (from-to)1618-1622
Number of pages5
JournalJournal of Vascular Surgery
Volume55
Issue number6
DOIs
StatePublished - Jun 2012
Externally publishedYes

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Carotid Artery Injuries
Carotid Arteries
Aneurysm
Common Carotid Artery
Internal Carotid Artery
Nervous System
Transplants
Cranial Nerve Diseases
Mortality
Carotid Endarterectomy
False Aneurysm
Wounds and Injuries
Neurologic Manifestations
Angioplasty
Atherosclerosis
Pathologic Constriction
Stroke
Demography
Morbidity

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Garg, K., Rockman, C. B., Lee, V., Maldonado, T. S., Jacobowitz, G. R., Adelman, M. A., & Mussa, F. F. (2012). Presentation and management of carotid artery aneurysms and pseudoaneurysms. Journal of Vascular Surgery, 55(6), 1618-1622. https://doi.org/10.1016/j.jvs.2011.12.054

Presentation and management of carotid artery aneurysms and pseudoaneurysms. / Garg, Karan; Rockman, Caron B.; Lee, Victoria; Maldonado, Thomas S.; Jacobowitz, Glenn R.; Adelman, Mark A.; Mussa, Firas F.

In: Journal of Vascular Surgery, Vol. 55, No. 6, 06.2012, p. 1618-1622.

Research output: Contribution to journalArticle

Garg, K, Rockman, CB, Lee, V, Maldonado, TS, Jacobowitz, GR, Adelman, MA & Mussa, FF 2012, 'Presentation and management of carotid artery aneurysms and pseudoaneurysms', Journal of Vascular Surgery, vol. 55, no. 6, pp. 1618-1622. https://doi.org/10.1016/j.jvs.2011.12.054
Garg, Karan ; Rockman, Caron B. ; Lee, Victoria ; Maldonado, Thomas S. ; Jacobowitz, Glenn R. ; Adelman, Mark A. ; Mussa, Firas F. / Presentation and management of carotid artery aneurysms and pseudoaneurysms. In: Journal of Vascular Surgery. 2012 ; Vol. 55, No. 6. pp. 1618-1622.
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AU - Adelman, Mark A.

AU - Mussa, Firas F.

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