Hybrid endovascular and surgical approach for mycotic pseudoaneurysms of the extracranial internal carotid artery
Articolo
Data di Pubblicazione:
2014
Citazione:
Hybrid endovascular and surgical approach for mycotic pseudoaneurysms of the extracranial internal carotid artery / D. Mazzaccaro, S. Stegher, M.T. Occhiuto, G. Malacrida, P. Righini, D.G. Tealdi, G. Nano. - In: SAGE OPEN MEDICINE. - ISSN 2050-3121. - 2:(2014), pp. 2050313X14558081.1-2050313X14558081.5. [10.1177/2050313X14558081]
Abstract:
Objectives:
Mycotic pseudoaneurysms of the extracranial internal carotid artery are rare, and their management often represents a challenge, but treatment is necessary due to the high risk of rupture and distal brain embolization. Systemic antibiotics associated with open surgical excision of the infected tissues and carotid reconstruction using autologous grafts are the treatment of choice. The use of endovascular techniques still remains controversial in infective fields; however, it can be an attractive alternative in high-risk patients or more often as a “temporary” solution to achieve immediate bleeding control for a safe surgical reconstruction.
Methods:
We discuss the unusual case of an extracranial right internal carotid artery mycotic pseudoaneurysm following methicillin-resistant Staphylococcus aureus infection, in a patient with poor general conditions.
Results and Conclusion:
The lesion was successfully treated using a hybrid endovascular and surgical procedure.
Tipologia IRIS:
01 - Articolo su periodico
Keywords:
mycotic pseudoaneurysms; hybrid treatment; internal carotid artery
Elenco autori:
D. Mazzaccaro, S. Stegher, M.T. Occhiuto, G. Malacrida, P. Righini, D.G. Tealdi, G. Nano
Link alla scheda completa:
Link al Full Text: