Resection and correction of the common carotid artery to enable an endovascular approach for treatment of a giant ICA aneurysm (a case report and literature review)

Usachev D.Iu.; Lukshin V.A.; Mikeladze K.G.; Yakovlev S.B.

doi:https://doi.org/10.17116/oftalma201882265-70

Usachev D.Iu.

NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

Lukshin V.A.

NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

Mikeladze K.G.

Burdenko’ National medical research center of neurosurgery, Moscow, Russia

Yakovlev S.B.

Burdenko’ National medical research center of neurosurgery, Moscow, Russia

Resection and correction of the common carotid artery to enable an endovascular approach for treatment of a giant ICA aneurysm (a case report and literature review)

Authors:

Usachev D.Iu., Lukshin V.A., Mikeladze K.G., Yakovlev S.B.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2018;82(2): 65‑70

DOI: 10.17116/oftalma201882265-70

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To cite this article:

Usachev DIu, Lukshin VA, Mikeladze KG, Yakovlev SB. Resection and correction of the common carotid artery to enable an endovascular approach for treatment of a giant ICA aneurysm (a case report and literature review). Burdenko's Journal of Neurosurgery. 2018;82(2):65‑70. (In Russ., In Engl.)
https://doi.org/10.17116/oftalma201882265-70

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

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Abstract:

The article reports a clinical case of endovascular treatment of a female patient with a giant aneurysm of the cavernous internal carotid artery complicated by gross ipsilateral bending of the proximal third of the common carotid artery. To ensure an adequate endovascular approach to the aneurysm, open repair of the common carotid artery and elimination of its bending were performed at the first stage. This enabled successful placement of a flow-diverting stent into the internal carotid artery at the aneurysm level at the second stage, resulting in good technical and clinical outcomes. We discuss the technical aspects of performed interventions and the opportunity of using this approach in patients who need endovascular interventions that are complicated by anatomical-morphological changes in the brachiocephalic arteries.

Keywords:

cerebral aneurysms

flow-diverting stent

carotid deformities

carotid artery repair

Authors:

Usachev D.Iu.

NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

Lukshin V.A.

NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

Mikeladze K.G.

Burdenko’ National medical research center of neurosurgery, Moscow, Russia

Yakovlev S.B.

Burdenko’ National medical research center of neurosurgery, Moscow, Russia

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References:

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