Hybrid treatment of large extracranial carotid artery aneurysm

Francesca Montanari; Luigi Venturini; Iacopo Valente; Marta Minucci; Tommaso Donati; Yamume Tshomba

doi:10.1016/j.jvscit.2023.101117

Hybrid treatment of large extracranial carotid artery aneurysm

J Vasc Surg Cases Innov Tech. 2023 Apr 20;9(2):101117. doi: 10.1016/j.jvscit.2023.101117. eCollection 2023 Jun.

Authors

Francesca Montanari¹, Luigi Venturini¹, Iacopo Valente², Marta Minucci¹, Tommaso Donati¹, Yamume Tshomba¹

Affiliations

¹ Unit of Vascular Surgery, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy.
² Unit of Radiology and Neuroradiology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy.

Abstract

An extracranial carotid artery aneurysm (ECAA) is a rare condition. The major complications are rupture and thromboembolism. Therefore, treatment is generally recommended. We report the case of a young woman affected by an ECAA, with a cervical pulsatile mass. A multidisciplinary evaluation was performed to ensure the best treatment in terms of safety and efficacy, and the patient underwent hybrid treatment. The 6-month computed tomography angiogram revealed patency of the carotid artery stents and the venous graft, in the absence of any relevant complications. An ECAA is a serious clinical condition. The treatment is challenging, and a multidisciplinary evaluation and precise planning are recommended.

Keywords: Aneurysm; Carotid aneurysm; Carotid artery; Endovascular treatment.