Viabahn-assisted sutureless anastomosis (VASA) repair of a complex internal carotid artery aneurysm
Extracranial carotid artery aneurysms (CAAs) are extremely rare and often require surgical intervention to avoid complications such as local compression symptoms and thrombo-embolization. We present the case of a 63-year-old man with a history of hypertension, meningioma, and an incidental finding o...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-06-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428723000709 |
| _version_ | 1797797112779374592 |
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| author | Luis H. Arzola, MD Kevin Mani, MD, PhD Gianmarco Zuccon, MD Tomas Ekberg, MD, PhD Anders Wanhainen, MD, PhD |
| author_facet | Luis H. Arzola, MD Kevin Mani, MD, PhD Gianmarco Zuccon, MD Tomas Ekberg, MD, PhD Anders Wanhainen, MD, PhD |
| author_sort | Luis H. Arzola, MD |
| collection | DOAJ |
| description | Extracranial carotid artery aneurysms (CAAs) are extremely rare and often require surgical intervention to avoid complications such as local compression symptoms and thrombo-embolization. We present the case of a 63-year-old man with a history of hypertension, meningioma, and an incidental finding of a right saccular internal carotid artery aneurysm at the base of the skull. He underwent open surgical repair; nonetheless, end-to-end anastomosis was not feasible. As bailout, the internal carotid artery was successfully reconstructed with a novel Viabahn-assisted sutureless anastomosis technique (GORE, Viabahn). Postoperative clinical assessment revealed no complications, postoperative computed tomography angiography revealed a patent reconstruction, and the patient was discharged home uneventfully with 1-year clinical and computed tomography angiography follow-up without remarks. Hybrid procedure is a viable option for technically challenging carotid anastomoses near the skull base. |
| first_indexed | 2024-03-13T03:44:16Z |
| format | Article |
| id | doaj.art-1b8e5e14b238403898ce0993401f8d62 |
| institution | Directory Open Access Journal |
| issn | 2468-4287 |
| language | English |
| last_indexed | 2024-03-13T03:44:16Z |
| publishDate | 2023-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj.art-1b8e5e14b238403898ce0993401f8d622023-06-23T04:43:41ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872023-06-0192101161Viabahn-assisted sutureless anastomosis (VASA) repair of a complex internal carotid artery aneurysmLuis H. Arzola, MD0Kevin Mani, MD, PhD1Gianmarco Zuccon, MD2Tomas Ekberg, MD, PhD3Anders Wanhainen, MD, PhD4Department of Surgery, Section of Vascular Surgery and Endovascular Therapy, National Institute of Medical Sciences and Nutrition Salvador Zubirán, Mexico City, MexicoDepartment of Surgical Sciences, Section of Vascular Surgery, Uppsala University, Uppsala, SwedenDepartment of Surgical Sciences, Section of Vascular Surgery, Uppsala University, Uppsala, SwedenDepartment of Otorhinolaryngology-Head and Neck Surgery, Uppsala University Hospital, Uppsala, SwedenDepartment of Surgical Sciences, Section of Vascular Surgery, Uppsala University, Uppsala, Sweden; Department of Surgical and Perioperative Sciences, Surgery, Umeå University, Umeå, Sweden; Correspondence: Anders Wanhainen, MD, PhD, Department of Surgical Sciences, Section of Vascular Surgery, Uppsala University, Uppsala SE 75185, SwedenExtracranial carotid artery aneurysms (CAAs) are extremely rare and often require surgical intervention to avoid complications such as local compression symptoms and thrombo-embolization. We present the case of a 63-year-old man with a history of hypertension, meningioma, and an incidental finding of a right saccular internal carotid artery aneurysm at the base of the skull. He underwent open surgical repair; nonetheless, end-to-end anastomosis was not feasible. As bailout, the internal carotid artery was successfully reconstructed with a novel Viabahn-assisted sutureless anastomosis technique (GORE, Viabahn). Postoperative clinical assessment revealed no complications, postoperative computed tomography angiography revealed a patent reconstruction, and the patient was discharged home uneventfully with 1-year clinical and computed tomography angiography follow-up without remarks. Hybrid procedure is a viable option for technically challenging carotid anastomoses near the skull base.http://www.sciencedirect.com/science/article/pii/S2468428723000709AnastomosisCarotid artery aneurysmCovered self-expandable stentGORE ViabahnSutureless |
| spellingShingle | Luis H. Arzola, MD Kevin Mani, MD, PhD Gianmarco Zuccon, MD Tomas Ekberg, MD, PhD Anders Wanhainen, MD, PhD Viabahn-assisted sutureless anastomosis (VASA) repair of a complex internal carotid artery aneurysm Journal of Vascular Surgery Cases and Innovative Techniques Anastomosis Carotid artery aneurysm Covered self-expandable stent GORE Viabahn Sutureless |
| title | Viabahn-assisted sutureless anastomosis (VASA) repair of a complex internal carotid artery aneurysm |
| title_full | Viabahn-assisted sutureless anastomosis (VASA) repair of a complex internal carotid artery aneurysm |
| title_fullStr | Viabahn-assisted sutureless anastomosis (VASA) repair of a complex internal carotid artery aneurysm |
| title_full_unstemmed | Viabahn-assisted sutureless anastomosis (VASA) repair of a complex internal carotid artery aneurysm |
| title_short | Viabahn-assisted sutureless anastomosis (VASA) repair of a complex internal carotid artery aneurysm |
| title_sort | viabahn assisted sutureless anastomosis vasa repair of a complex internal carotid artery aneurysm |
| topic | Anastomosis Carotid artery aneurysm Covered self-expandable stent GORE Viabahn Sutureless |
| url | http://www.sciencedirect.com/science/article/pii/S2468428723000709 |
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