ORBi: Detry Olivier - Sequential successful surgical management of extracranial internal carotid stenosis and ipsilateral intracranial aneurysm. Case reports.

Reference : Sequential successful surgical management of extracranial internal carotid stenosis and ...


	Document type :	Scientific journals : Article
	Discipline(s) :	Human health sciences : Neurology Human health sciences : Cardiovascular & respiratory systems Human health sciences : Surgery
	To cite this reference:	http://hdl.handle.net/2268/23070

Title :	Sequential successful surgical management of extracranial internal carotid stenosis and ipsilateral intracranial aneurysm. Case reports.
Language :	English
Author, co-author :	Detry, Olivier [Université de Liège - ULg > > Chirurgie abdominale- endocrinienne et de transplantation >]
	Defraigne, Jean-Olivier [Université de Liège - ULg > Département des sciences cliniques > Chirurgie cardio-vasculaire et thoracique >]
	Desiron, Quentin [Université de Liège - ULg > > Chirurgie cardio-vasculaire >]
	Martin, Didier [Université de Liège - ULg > > Neurochirurgie >]
	Born, Jacques [ > > ]
	Hans, Pol [Université de Liège - ULg > > Anesthésie et réanimation >]
	Limet, Raymond [Université de Liège - ULg > Département des sciences cliniques > Département des sciences cliniques >]
Publication date :	Mar-1997
Journal title :	Vascular Surgery
Publisher :	Westminster Publications
Volume :	31
Pages :	179-185
Audience :	International
ISSN :	0042-2835
City :	Glen Head
Country :	NY
Abstract :	[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.
Target :	Professionals ; Students ; General public
Permalink :	http://hdl.handle.net/2268/23070

File(s) associated to this reference

Fulltext file(s):

	File	Commentary	Version	Size	Access
Restricted access	Vasc.Surg.1997.pdf		Publisher postprint	13.52 MB	Request copy

All documents in ORBi are protected by a user license.

Dspace v1.5