Surgical treatment of distal extracranial internal carotid artery aneurysms associated with pathological artery kinking

Guzhin V.E.; Dubovoy A.V.; Cherepanov A.V.

doi:https://doi.org/10.17116/neiro201680562-66

Guzhin V.E.

Federal Center for Neurosurgery of Healthcare Ministry of the Russian Federation, Novosibirsk, Russia

RSCI AuthorID: 305423
Scopus AuthorID: 57193727682
ORCID: 0000-0002-4664-3605

Dubovoy A.V.

Federal Center of Neurosurgery, Novosibirsk, Russia

Cherepanov A.V.

Federal Center for Neurosurgery of Healthcare Ministry of the Russian Federation, Novosibirsk, Russia

Surgical treatment of distal extracranial internal carotid artery aneurysms associated with pathological artery kinking

Authors:

Guzhin V.E., Dubovoy A.V., Cherepanov A.V.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2016;80(5): 62‑66

DOI: 10.17116/neiro201680562-66

Read: 6552 times

To cite this article:

Guzhin VE, Dubovoy AV, Cherepanov AV. Surgical treatment of distal extracranial internal carotid artery aneurysms associated with pathological artery kinking. Burdenko's Journal of Neurosurgery. 2016;80(5):62‑66. (In Russ., In Engl.)
https://doi.org/10.17116/neiro201680562-66

Подписка 2025 Журнал «Вопросы нейрохирургии» имени Н.Н. Бурденко (Burdenko's Journal of Neurosurgery)

Использование инфографики авторами научных работ

Close metadata

Recommended articles:

Laparoscopic and robot-assisted approaches in abdominal aortic surgery. Endoscopic Surgery. 2025;(3):13-20

Subclavian Vein Aneurysm: Challenges in Diagnosing a Rare Venous Pathology. Journal of Venous Disorders. 2025;(4):320-326

Hybrid surgical intervention for aneurysmatic lesion of aortofemoral segment. Pirogov Russian Journal of Surgery. 2026;(1):105-110

Abstract:

Extracranial internal carotid artery (ICA) aneurysms located at the entrance of the skull are a rare pathology. Surgical treatment is indicated for this pathology because of the risk of arterio-arterial embolism and the development of cerebrovascular disease. The domestic and international literature reports single cases or small group cases of successful surgical treatment of patients with distal internal carotid artery aneurysms associated with pathological kinking of the artery. Open surgery for aneurysms of this localization is complicated because of a high injury risk associated with the approach. Endovascular interventions are not always possible due to the presence of degenerative changes in the vascular wall and pathological artery kinking. We propose a surgical option for creating a high-flow ec-ic bypass between the external carotid artery and the M2 segment of the middle cerebral artery. The article describes the results of successful application of this technique in three patients with distal extracranial internal carotid artery aneurysms associated with pathological kinking of the artery.

Keywords:

artery kinking

aneurysm

internal carotid artery

high-flow ec-ic bypass

Authors:

Guzhin V.E.

Federal Center for Neurosurgery of Healthcare Ministry of the Russian Federation, Novosibirsk, Russia

RSCI AuthorID: 305423
Scopus AuthorID: 57193727682
ORCID: 0000-0002-4664-3605

Dubovoy A.V.

Federal Center of Neurosurgery, Novosibirsk, Russia

Cherepanov A.V.

Federal Center for Neurosurgery of Healthcare Ministry of the Russian Federation, Novosibirsk, Russia

Close metadata

References:

Belov YuV, Stepanenko AB, Bogopolskii OM, Kizyma AG. Surgical treatment of aneurysm and kinking of internal carotid artery. Angiologiya i sosudistaya chirurgiya. 2006;12:4:115-117. (In Russ.).
Gavrilenko AV, Sinyavin G.. Surgical treatment of patients with aneurysms of the extracranial carotid arteries. Angiologiya i sosudistaya chirurgiya. 2005;11:1:112-117. (In Russ.).
Rosset E, Albertini JN, Magnan PE, Ede B, Thomassin JM, Brancherean A. Surgical treatment of extracranial internal carotid artery aneurysms. J Vasc Surg. 2000;31(4):713-723.
Isaev IV, Tsygelnik SA, Teplitskii EA, Ryazanova TV. Aneurysms of extracranial internal segment of carotid artery. Angiologiya i sosudistaya chirurgiya. 2007;13:1:143-151. (In Russ.).
Miksic K, Flis V, Kosir G, Pavlovic M, Tetickovic E. Surgical aspects of fusiform and saccular extracranial carotid artery aneurysms. Cardiovasc Surg. 1997;5(2):190-195.
Moosa HH, Higgins R, Shapiro SB, Harrison AM. Isolated internal carotid artery aneurysm in a 22 year old patient. Contemporary surgery. 1992;40-40.
Norman R. Hertzer Extracranial carotid artery aneurysms: A new look at an old problem. J Vascular surgery. 2000;31:8:823-825.
Painter TA, Hertzer NR, Beven EG, O`Hara PJ. Extracranial aneurysms: report of six cases and review of the literature. J Vasc Surg. 1985;2:312-318.
El-Sabrout R, Cooley DA. Extracranial carotid artery aneurysms: Texas Heart Institute experience. J Vasc Surg. 2000;31(4):702-712.
Patrschke E, Schafer K, Reimer J, Stiegler H, Stelter WJ, Becker HM. Extracranial aneurysms of the carotid artery. Thorac Cardiovasc Surg. 1980;28:354-358.
Gaibov AD, Stepanov DD, Kozlov AN. Successful surgery for a true aneurysm of the internal carotid artery due to kinking. Angiologiya i sosudistaya chirurgiya. 2007;13:3:145-147. (In Russ.).
Busuttil RW, Davidson RK, Folley KT, Livesay JT, Barker WF. Selective management of extracranial carotid arterial aneurysms. Am J Surg. 1980;140:85.
Painter TA, Hertzer NR. Extracranial carotid aneurysms: report of six cases and review of the literature. J Vasc Surgery. 1985;2:312-318.
Moreau P, Albat B, Thevenet A. Surgical treatment of extracranial internal carotid artery aneurysm. Ann Vasc Surg. 1994;8:409-416.
Schievink WI, Piegras DG, McCaffrey TV, Mokri B. Surgical treatment of extracranial internal carotid artery aneurysms. Neurosurgery. 1994;35:809-815.
Voskanyan JE, Voskanyan EA, Shiyukov RV, Chemurziev RA, Danilov SV, Aleshin PV, Golubov EA, Komarova IV. Experience of successful surgical treatment of patient with true aneurysms of the common carotid artery and the infrarenal abdominal aorta. Angiologiya i sosudistaya chirurgiya. 2008;14:2:142-143. (In Russ.).
Dadashov SA, Vinogradov OA, Antsupov KA, Lavrent'yev AV, Shcherbyuk AN. Giant aneursm as the outcome of pathological kinking of the internal carotid artery. Angiologiya i sosudistaya chirurgiya. 2010;16:4:198-200. (In Russ.).
Usachev DJ, Lukshin VA, Sosnin AD, Shishkina LV, Shmigel'skiy AV, Nagornaya IA, Vasil'chenko VV, Belyaev AYu, Akhmedov AD, Batisheva EV. Surgical treatment of patients with pathological deformations of the carotid arteries. Voprosy neurochirurgii named after NN. Burdenko. 2014;78:5:3-15. (In Russ.).
Amar AP, Teitelbaum GP, Giannotta SL, Larsen DW. Covered stent-graft repair of the brachiocephalic arteries: technical note. Neurosurgery. 2002;51(1):247-252.
Mukherjee D, Roffi M, Yadav JS. Endovascular treatment of carotid artery aneurysms with stent grafts. J Invasive Cardiol. 2002;14(5):269-272.
Tsygankov VN, Sidorov AA, Goncharov AI. Endoprosthesis of the internal carotid artery true aneurysm. Angiologiya i sosudistaya chirurgiya. 2012;18:2:65-68. (In Russ.).
Pokrovsky AV, Tsygankov VN, Sidorov AA. The use of self-expanding stent-grafts in aneurysms of the internal carotid artery. Angiologiya i sosudistaya chirurgiya. 2015;21:4:185-190. (In Russ.).
Krylov VV, Lemenev VL. Revascularization of the brain in vascular neurosurgery. M.: Publisher BINOM. 2014;272.
Guzhin VE, Kachesov EY, Novikov PV, Lezhnev VA. Graft stent of carotid artery aneurysm. Electronic Journal ANGIOLOGIA.ru. 2010;2. (In Russ.).
Byvaltsev AS, Maksimov VV, Dashyan VG, Vorob'yev AA, Solov'yev MV, Pasynkova OO, Trubachev EA, Komissarova NV, Maksimov KV, Kobelev AV, Mikhaylova NA. The first experience of High-flow EC-IC bypass for the treatment of patients with ischemic stroke with occlusion of the internal carotid artery. Neurochirurgiya. 2015;3:20-26.
Fish UP, Oldring DJ, Senning A. Surgical therapy of internal carotid artery lesions of the skull base and temporal bone. Otolaryngology, head and neck surgery. 1980;88:548.