James May, MS, FRACS, FACS, Geoffrey H

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Presentation transcript:

Endoluminal repair of internal carotid artery aneurysm: A feasible but hazardous procedure James May, MS, FRACS, FACS, Geoffrey H. White, FRACS, Richard Waugh, FRACR, John Brennan, MD, FRCS Journal of Vascular Surgery Volume 26, Issue 6, Pages 1055-1059 (December 1997) DOI: 10.1016/S0741-5214(97)70020-X Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Preoperative contrast-enhanced CT scan of neck demonstrates 3 cm diameter aneurysm of right internal carotid artery (arrow). Note calcification at 3, 8, and 11 o'clock positions. These opacities are visible in postoperative CT scan (Fig. 3) and must be distinguished from extravasation of contrast material. Journal of Vascular Surgery 1997 26, 1055-1059DOI: (10.1016/S0741-5214(97)70020-X) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 A, On-table preprocedure angiogram obtained through side port of introducing sheath. Note radiopaque hemostatic clip at bifurcation, which was placed during previous endarterectomy. B, On-table postprocedure angiogram confirms exclusion of aneurysm from circulation. Note radiopaque markers indicating proximal and distal extent of endograft. Journal of Vascular Surgery 1997 26, 1055-1059DOI: (10.1016/S0741-5214(97)70020-X) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 A, On-table preprocedure angiogram obtained through side port of introducing sheath. Note radiopaque hemostatic clip at bifurcation, which was placed during previous endarterectomy. B, On-table postprocedure angiogram confirms exclusion of aneurysm from circulation. Note radiopaque markers indicating proximal and distal extent of endograft. Journal of Vascular Surgery 1997 26, 1055-1059DOI: (10.1016/S0741-5214(97)70020-X) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Postoperative contrast-enhanced CT scan demonstrates contrast material within endograft and exclusion of aneurysm sac from circulation. Journal of Vascular Surgery 1997 26, 1055-1059DOI: (10.1016/S0741-5214(97)70020-X) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions