Adjunctive endovascular techniques in the management of postoperative carotid artery pseudoaneurysms - Useful armamentarium for vascular surgeons: Three case reports

Thomas T. Terramani, Michael J. Workman, Zeev Loberman, David L Dawson, Ruth L. Bush, Alan B. Lumsden, Peter H. Lin

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Postoperative carotid artery pseudoaneurysms are rare. The traditional treatment of choice has been operative repair, which can present a significant technical challenge owing to the reoperative neck inflammation and potential cranial nerve injuries. The authors report 3 cases of postoperative carotid pseudoaneurysms that were successfully managed by use of various adjunctive endovascular techniques. The adjunctive endovascular maneuvers included the following: 1) endoluminal balloon placement for preoperative test occlusion and intraoperative proximal control to facilitate operative dissection in the first patient with a carotid pseudoaneurysm; 2) endoluminal stent-graft placement to exclude a large expanding carotid pseudoaneurysm in the second patient; and 3) endoluminal coil placement along with balloon occlusion to achieve complete hemostasis in the third patient, who presented with a hemorrhaging carotid pseudoaneurysm. Successful outcomes were achieved in all 3 patients by use of adjunctive endovascular techniques. These cases underscore the role of adjunctive endovascular treatment as an armamentarium for vascular surgeons in the treatment of complex carotid pseudoaneurysms.

Original languageEnglish (US)
Pages (from-to)207-212
Number of pages6
JournalVascular and Endovascular Surgery
Volume37
Issue number3
StatePublished - May 2003
Externally publishedYes

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Carotid Artery Injuries
Endovascular Procedures
Carotid Arteries
Blood Vessels
Cranial Nerve Injuries
Balloon Occlusion
Hemostasis
Stents
Surgeons
Dissection
Neck
Therapeutics
Inflammation
Transplants

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Adjunctive endovascular techniques in the management of postoperative carotid artery pseudoaneurysms - Useful armamentarium for vascular surgeons : Three case reports. / Terramani, Thomas T.; Workman, Michael J.; Loberman, Zeev; Dawson, David L; Bush, Ruth L.; Lumsden, Alan B.; Lin, Peter H.

In: Vascular and Endovascular Surgery, Vol. 37, No. 3, 05.2003, p. 207-212.

Research output: Contribution to journalArticle

Terramani, Thomas T. ; Workman, Michael J. ; Loberman, Zeev ; Dawson, David L ; Bush, Ruth L. ; Lumsden, Alan B. ; Lin, Peter H. / Adjunctive endovascular techniques in the management of postoperative carotid artery pseudoaneurysms - Useful armamentarium for vascular surgeons : Three case reports. In: Vascular and Endovascular Surgery. 2003 ; Vol. 37, No. 3. pp. 207-212.
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