New exposure technique for management of giant internal carotid artery aneurysm Kiriakos Ktenidis, MD, PhD, EBSQ-VASC, Athanasios Lioupis, MD, PhD, Aggelos.

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New exposure technique for management of giant internal carotid artery aneurysm Kiriakos Ktenidis, MD, PhD, EBSQ-VASC, Athanasios Lioupis, MD, PhD, Aggelos Megalopoulos, MD, Konstantinos Antoniadis, MD, PhD, Dimitrios Kiskinis, MD, PhD Journal of Vascular Surgery Volume 54, Issue 2, Pages 522-525 (August 2011) DOI: 10.1016/j.jvs.2010.12.060 Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 1 Computed tomography scan examination of bilateral extracranial carotid aneurysms before (A) and after (B) surgical repair on the left side. ECA, External carotid artery; ePTFE, expanded polytetrafluoroethylene; ICA, internal carotid artery. Journal of Vascular Surgery 2011 54, 522-525DOI: (10.1016/j.jvs.2010.12.060) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 2 Digital subtraction angiography of the aortic arch and its branches, including the carotid artery (dotted line annotates the Blaisdale line). Journal of Vascular Surgery 2011 54, 522-525DOI: (10.1016/j.jvs.2010.12.060) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 3 Surgical steps of the new technique for open repair of the giant internal carotid artery aneurysm (A, aneurysm position and incision line; B, mandible preparation and osteotomy; C, mandible elevation and aneurysm exposition; D, aneurysm repair with 8-mm expanded polytetrafluoroethylene graft interposition). Journal of Vascular Surgery 2011 54, 522-525DOI: (10.1016/j.jvs.2010.12.060) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 4 Computed tomography angiography after open repair of the left extracranial carotid aneurysm with expanded polytetrafluoroethylene graft interposition (24-month follow-up). Journal of Vascular Surgery 2011 54, 522-525DOI: (10.1016/j.jvs.2010.12.060) Copyright © 2011 Society for Vascular Surgery Terms and Conditions