Avtor/Urednik		Miksić, K; Flis, V
Naslov		Kirurško zdravljenje anevrizem karotide
Prevedeni naslov		Surgical treatment of carotid aneurysms
Tip		članek
Vir		In: Flis V, editor. Zbornik Kirurgija notranje karotide, anevrizme arterij, kritična kronična ishemija; 1995 okt 13-14; Maribor. Maribor: Zdravniško društvo Slovenije,
Leto izdaje		1995
Obseg		str. 111-7
Jezik		slo
Abstrakt		Nine cases of extracranial carotid artery aneurysms are reported on. Five were fusiform atherosclerotic aneurysms locted at the carotic bifurcation and four were saccular confined to the internal carotid artery. A combination of aneurysm with prominent elogation of the carotid artery was evident in all cases. End-to-end plication techique and dacron patch angioplasty were employed for all fusiform aneurysms. In all. four cases of saccular aneurysms resection with reanastomosis was initially attempted, but failed becouse of a tear in the paper - thin arterial wall. After that in three saccullar lesions with a complete loop of the internal carotid artery, resection and 6 mm PTFE graft interposition were carried out. In one case with a high lesion ligation of the carotid artery was performed. All cases were operated under mild elevation of the peripheral perfusion pressure using an infusion of phenylephrine. In reconstruction of fusiform aneurysms intraluminal shunting was performed. In saccular lesions this was not done. Ligation of the internal carotid artery resulted in severe postoperative stroke and fatal outcome three days after the operation. One patient with a saccular lesion developed transient neurological symtomatology after the operatio. In other patients, no reurologic deficit was produced by surgery itself. We conclude that according to the type and location of the aneurysm selective management is necessary. As demonstrated by our cases synthetic material may be used in restoration of the carotic artery.
Deskriptorji		ANEURYSM CAROTID ARTERIES MIDDLE AGE AGED