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New exposure technique for management of giant internal carotid artery aneurysm.

TitleNew exposure technique for management of giant internal carotid artery aneurysm.
Publication TypeJournal Article
Year of Publication2011
AuthorsKtenidis, K., Lioupis A., Megalopoulos A., Antoniadis K., & Kiskinis D.
JournalJ Vasc Surg
Volume54
Issue2
Pagination522-5
Date Published2011 Aug
ISSN1097-6809
KeywordsAdult, Aneurysm, Angiography, Digital Subtraction, Blood Vessel Prosthesis Implantation, Bone Plates, Carotid Artery Diseases, Carotid Artery, Internal, Endarterectomy, Carotid, Female, Humans, Mandible, Osteotomy, Tomography, X-Ray Computed, Treatment Outcome
Abstract

We are presenting a case of giant internal carotid artery aneurysm (ICAA) managed by a new exposure technique. Following double mandibular osteotomy, the exposure of the entire aneurysm was achieved by mandible mobilization. The aneurysm repair was performed by resection and graft interposition. Mandible bone reconstruction was succeeded via mini plate osteosynthesis. No adverse events were noticed during the 24-month follow-up period. The surgical ICAA management is necessary to prevent severe complications. In cases of aneurysm extension to the skull base, double mandibular osteotomy is a safe technique that facilitates aneurysm exposure and control.

DOI10.1016/j.jvs.2010.12.060
Alternate JournalJ. Vasc. Surg.
PubMed ID21377825

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