Reference : Sequential successful surgical management of extracranial internal carotid stenosis a...
Scientific journals : Article
Human health sciences : Cardiovascular & respiratory systems
Human health sciences : Neurology
Human health sciences : Surgery
http://hdl.handle.net/2268/23070
Sequential successful surgical management of extracranial internal carotid stenosis and ipsilateral intracranial aneurysm. Case reports.
English
Detry, Olivier mailto [Université de Liège - ULg > > Chirurgie abdominale- endocrinienne et de transplantation >]
Defraigne, Jean-Olivier mailto [Université de Liège - ULg > Département des sciences cliniques > Chirurgie cardio-vasculaire et thoracique >]
Desiron, Quentin [Université de Liège - ULg > > Chirurgie cardio-vasculaire >]
Martin, Didier mailto [Université de Liège - ULg > > Neurochirurgie >]
Born, Jacques [ > > ]
Hans, Pol [Université de Liège - ULg > > Anesthésie et réanimation >]
Limet, Raymond mailto [Université de Liège - ULg > Département des sciences cliniques > Département des sciences cliniques >]
Mar-1997
Vascular Surgery
Westminster Publications
31
179-185
Yes (verified by ORBi)
International
0042-2835
Glen Head
NY
[en] The coexistence of extracranial internal carotid stenosis and ipsilateral intracranial aneurysm is a rare event whose management is controversial. Theoretically, the correction of a significant stenosis of the extracranial internal carotid may lead to an increase in the downstream pressure in the intracranial carotid, and may consequently increase the risk of rupture of the ipsilateral aneurysm. Moreover, dramatic increase of blood pressure is not uncommon after carotid endarterectomy, and may promote aneurysmal rupture. Intracranial surgical correction of a hypoperfused aneurysm down to extracranial carotid stenosis should carry an increased risk of inadequate cerebral flow during procedure, and unspecific postoperative stimulation of platelets aggregation and coagulation may complete obstruction of a subtotal carotid stenosis. We report the cases of two patients successfully treated by a two-stage surgical procedure. In a first step, the intracerebral aneurysms were controlled and electively excluded by clipping. In a second step, carotid endarteriectomies were performed some days later without any neurological complications. Postoperative recoveries were uneventful and six months after these surgical procedures, clinical examination of both patients did not reveal any worsening of the preoperative neurological status.
Professionals ; Students ; General public
http://hdl.handle.net/2268/23070

File(s) associated to this reference

Fulltext file(s):

FileCommentaryVersionSizeAccess
Restricted access
Vasc.Surg.1997.pdfPublisher postprint13.52 MBRequest copy

Bookmark and Share SFX Query

All documents in ORBi are protected by a user license.