A Rare Cause of Juvenile Stroke: Extracranial Carotid Artery Aneurysm with Venous Complete Reconstruction of the Carotid Bifurcation

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1 Citation (Scopus)

Abstract

Extracranial carotid artery aneurysms (ECAA) are a rare cause of embolic stroke. The underlying etiology is variable, with atherosclerosis being the most common entity in older subjects. Several treatments have been developed over the last 20 years, but the preferred method remains unknown. Notwithstanding the widespread use of endovascular techniques, surgical reconstruction by means of a bifurcated venous bypass graft should be applied in younger patients. In this way, it is possible to avoid major concerns about the development of long-term intrastent restenosis, and also to spare the external carotid artery which represents the main branch for the ipsilateral cerebral and facial perfusion. We propose ECAA resection and interposition of the inverted great saphenous vein to both the internal and external carotid artery by means the use of a tributary, i.e., the Giacomini vein.

Original languageEnglish
Pages (from-to)275-279
Number of pages5
JournalPediatric Neurosurgery
Volume53
Issue number4
DOIs
Publication statusPublished - 2018

Fingerprint

External Carotid Artery
Carotid Arteries
Aneurysm
Stroke
Endovascular Procedures
Saphenous Vein
Internal Carotid Artery
Veins
Atherosclerosis
Perfusion
Transplants
Therapeutics

Keywords

  • Carotid bifurcation reconstruction
  • Extracranial carotid artery aneurysm
  • Stroke

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery
  • Clinical Neurology

Cite this

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title = "A Rare Cause of Juvenile Stroke: Extracranial Carotid Artery Aneurysm with Venous Complete Reconstruction of the Carotid Bifurcation",
abstract = "Extracranial carotid artery aneurysms (ECAA) are a rare cause of embolic stroke. The underlying etiology is variable, with atherosclerosis being the most common entity in older subjects. Several treatments have been developed over the last 20 years, but the preferred method remains unknown. Notwithstanding the widespread use of endovascular techniques, surgical reconstruction by means of a bifurcated venous bypass graft should be applied in younger patients. In this way, it is possible to avoid major concerns about the development of long-term intrastent restenosis, and also to spare the external carotid artery which represents the main branch for the ipsilateral cerebral and facial perfusion. We propose ECAA resection and interposition of the inverted great saphenous vein to both the internal and external carotid artery by means the use of a tributary, i.e., the Giacomini vein.",
keywords = "Carotid bifurcation reconstruction, Extracranial carotid artery aneurysm, Stroke",
author = "Maurizio Domanin and Silvia Lanfranconi and Silvia Romagnoli and Letterio Runza and Francesca Cortini and Comi, {Giacomo Piero} and Livio Gabrielli",
year = "2018",
doi = "10.1159/000487089",
language = "English",
volume = "53",
pages = "275--279",
journal = "Pediatric Neurosurgery",
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TY - JOUR

T1 - A Rare Cause of Juvenile Stroke

T2 - Extracranial Carotid Artery Aneurysm with Venous Complete Reconstruction of the Carotid Bifurcation

AU - Domanin, Maurizio

AU - Lanfranconi, Silvia

AU - Romagnoli, Silvia

AU - Runza, Letterio

AU - Cortini, Francesca

AU - Comi, Giacomo Piero

AU - Gabrielli, Livio

PY - 2018

Y1 - 2018

N2 - Extracranial carotid artery aneurysms (ECAA) are a rare cause of embolic stroke. The underlying etiology is variable, with atherosclerosis being the most common entity in older subjects. Several treatments have been developed over the last 20 years, but the preferred method remains unknown. Notwithstanding the widespread use of endovascular techniques, surgical reconstruction by means of a bifurcated venous bypass graft should be applied in younger patients. In this way, it is possible to avoid major concerns about the development of long-term intrastent restenosis, and also to spare the external carotid artery which represents the main branch for the ipsilateral cerebral and facial perfusion. We propose ECAA resection and interposition of the inverted great saphenous vein to both the internal and external carotid artery by means the use of a tributary, i.e., the Giacomini vein.

AB - Extracranial carotid artery aneurysms (ECAA) are a rare cause of embolic stroke. The underlying etiology is variable, with atherosclerosis being the most common entity in older subjects. Several treatments have been developed over the last 20 years, but the preferred method remains unknown. Notwithstanding the widespread use of endovascular techniques, surgical reconstruction by means of a bifurcated venous bypass graft should be applied in younger patients. In this way, it is possible to avoid major concerns about the development of long-term intrastent restenosis, and also to spare the external carotid artery which represents the main branch for the ipsilateral cerebral and facial perfusion. We propose ECAA resection and interposition of the inverted great saphenous vein to both the internal and external carotid artery by means the use of a tributary, i.e., the Giacomini vein.

KW - Carotid bifurcation reconstruction

KW - Extracranial carotid artery aneurysm

KW - Stroke

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