Application of surgical revascularization technique in giant aneurysm of the extracranial internal carotid artery: technical report

Acta Neurochir (Wien). 2024 Oct 15;166(1):410. doi: 10.1007/s00701-024-06311-8.

Abstract

Purpose: The purpose of this study is to illustrate the diagnostic and therapeutic value and clinical significance of surgical revascularization in giant aneurysms of the extracranial internal carotid artery.

Methods: The research team screened a group of cases of giant aneurysms of the extracranial internal carotid artery and analyzed the detailed information of the enrolled patients in terms of their basic clinical characteristics, surgical approaches and clinical prognosis.

Results: All patients had a good prognosis, except for one patient who was left with only mild facial nerve palsy (grade II facial paralysis). The results demonstrate that surgical revascularization is effective and safe in the treatment of giant aneurysms of the extracranial internal carotid artery.

Conclusion: The significant conclusion of this study is to provide an ideal alternative treatment for the treatment of giant aneurysms of the extracranial internal carotid artery. The surgical revascularization technique is a powerful tool for vascular neurosurgeons in the management of complex cerebrovascular diseases when traditional surgical clipping or endovascular interventions encounter bottlenecks.

Keywords: Aneurysm; Extracranial internal carotid artery; Revascularization.

Publication types

  • Case Reports
  • Technical Report

MeSH terms

  • Adult
  • Aged
  • Aneurysm / diagnostic imaging
  • Aneurysm / surgery
  • Carotid Artery Diseases / diagnostic imaging
  • Carotid Artery Diseases / surgery
  • Carotid Artery, Internal* / diagnostic imaging
  • Carotid Artery, Internal* / surgery
  • Cerebral Revascularization* / methods
  • Female
  • Humans
  • Intracranial Aneurysm / diagnostic imaging
  • Intracranial Aneurysm / surgery
  • Male
  • Middle Aged
  • Treatment Outcome