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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Behcet Extracranial Carotid Aneurysms: Is There Still a Role for Ligation?
European Journal of Vascular and Endovascular Surgery, Volume 39, No. 1, Year 2010
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Description
Objectives: Aneurysm formation in Behcet's disease (BD) rarely involves extracranial carotid arteries. We report our experience of the management of extracranial carotid artery aneurysms (ECAAs) in BD. Materials and Methods: Data of patients with Behcet ECAAs presenting from 1997 to 2008 were retrospectively collected focusing on the different treatment modalities, the indications for each modality and the outcome. Results: Twelve Behcet ECAAs were managed. Seven underwent ligation of the carotid artery, where the stump pressure exceeded 70 mmHg. The remaining five patients underwent vascular reconstruction: either excision and reconstruction by an autogenous vein interposition graft (n = 3), excision and end-to-end anastomosis (n = 1), or direct suture of a small rent in the artery (n = 1). There were no perioperative mortalities or major strokes. There was one recurrent laryngeal nerve injury and one hematoma. There was one aneurysm recurrence, which was managed by ligation and resulted in a minor stroke. Conclusion: Surgical repair in Behcet ECAAs should be performed with special precautions in order to prevent anastomotic pseudoaneurysm formation. Ligation can be performed when the anatomical and/or pathological circumstances are not favourable, provided that the stump pressure is adequate to maintain cerebral perfusion. © 2009 European Society for Vascular Surgery.
Authors & Co-Authors
Sayed, A.
Egypt, Cairo
Faculty of Medicine
Elwan, Hussein O.
Egypt, Cairo
Faculty of Medicine
Fouad, F.
Egypt, Cairo
Faculty of Medicine
Taha, Ahmed Ali
Egypt, Cairo
Faculty of Medicine
Elhindawi, K.
Egypt, Cairo
Faculty of Medicine
Khairy, Hussein Mahmoud
Egypt, Cairo
Faculty of Medicine
Gad, Amr
Egypt, Cairo
Faculty of Medicine
Kamal Eldin, H.
Egypt, Cairo
Faculty of Medicine
Statistics
Citations: 20
Authors: 8
Affiliations: 1
Identifiers
Doi:
10.1016/j.ejvs.2009.09.020
ISSN:
10785884
e-ISSN:
15322165
Research Areas
Health System And Policy
Noncommunicable Diseases
Violence And Injury