Transcervical approach to distal extracranial internal carotid aneurysm

We report the case of a 77-year-old woman presenting with an asymptomatic internal carotid artery (ICA) aneurysm arising at the skull base. The distal right extracranial ICA aneurysm presented as a challenging case due to difficulty in obtaining adequate surgical exposure and preserving the facial n...

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Published inJournal of vascular surgery cases and innovative techniques Vol. 10; no. 3; p. 101463
Main Authors AbouAyash, Joseph, Greif, Benjamin, Salzler, Gregory, Ryer, Evan, Garvin, Robert
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.06.2024
Elsevier
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Abstract We report the case of a 77-year-old woman presenting with an asymptomatic internal carotid artery (ICA) aneurysm arising at the skull base. The distal right extracranial ICA aneurysm presented as a challenging case due to difficulty in obtaining adequate surgical exposure and preserving the facial nerves present near the ICA aneurysm. Transcervical open repair with a team of vascular and otolaryngology surgeons was completed successfully. In this report, we detail the operative steps needed to complete this exposure and our perioperative management.
AbstractList We report the case of a 77-year-old woman presenting with an asymptomatic internal carotid artery (ICA) aneurysm arising at the skull base. The distal right extracranial ICA aneurysm presented as a challenging case due to difficulty in obtaining adequate surgical exposure and preserving the facial nerves present near the ICA aneurysm. Transcervical open repair with a team of vascular and otolaryngology surgeons was completed successfully. In this report, we detail the operative steps needed to complete this exposure and our perioperative management.
ArticleNumber 101463
Author AbouAyash, Joseph
Garvin, Robert
Ryer, Evan
Salzler, Gregory
Greif, Benjamin
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  organization: Geisinger Commonwealth School of Medicine, Scranton, PA
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  surname: Greif
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  organization: Department of Vascular and Endovascular Surgery, Geisinger Medical Center, Danville, PA
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  organization: Department of Vascular and Endovascular Surgery, Geisinger Medical Center, Danville, PA
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  organization: Department of Vascular and Endovascular Surgery, Geisinger Medical Center, Danville, PA
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  givenname: Robert
  surname: Garvin
  fullname: Garvin, Robert
  organization: Department of Vascular and Endovascular Surgery, Geisinger Medical Center, Danville, PA
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Keywords Transcervical approach
Internal carotid aneurysm
Open repair
Distal extracranial internal carotid aneurysm
Language English
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Snippet We report the case of a 77-year-old woman presenting with an asymptomatic internal carotid artery (ICA) aneurysm arising at the skull base. The distal right...
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SubjectTerms Case report
Distal extracranial internal carotid aneurysm
Internal carotid aneurysm
Open repair
Transcervical approach
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Title Transcervical approach to distal extracranial internal carotid aneurysm
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