1. Viabahn-assisted sutureless anastomosis (VASA) repair of a complex internal carotid artery aneurysm
- Author
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Luis H. Arzola, MD, Kevin Mani, MD, PhD, Gianmarco Zuccon, MD, Tomas Ekberg, MD, PhD, and Anders Wanhainen, MD, PhD
- Subjects
Anastomosis ,Carotid artery aneurysm ,Covered self-expandable stent ,GORE Viabahn ,Sutureless ,Surgery ,RD1-811 ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Extracranial carotid artery aneurysms (CAAs) are extremely rare and often require surgical intervention to avoid complications such as local compression symptoms and thrombo-embolization. We present the case of a 63-year-old man with a history of hypertension, meningioma, and an incidental finding of a right saccular internal carotid artery aneurysm at the base of the skull. He underwent open surgical repair; nonetheless, end-to-end anastomosis was not feasible. As bailout, the internal carotid artery was successfully reconstructed with a novel Viabahn-assisted sutureless anastomosis technique (GORE, Viabahn). Postoperative clinical assessment revealed no complications, postoperative computed tomography angiography revealed a patent reconstruction, and the patient was discharged home uneventfully with 1-year clinical and computed tomography angiography follow-up without remarks. Hybrid procedure is a viable option for technically challenging carotid anastomoses near the skull base.
- Published
- 2023
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