Surgical Exposure to Control the Distal Internal Carotid Artery at the Base of the Skull during Carotid Aneurysm Repair

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• 作者：Laura Davis¹ ; Anthony Zeitouni² ; Nicholas Makhoul³ ; Oren K. Steinmetz¹ ; ^{Oren.Steinmetz@muhc.mcgill.ca" class="auth_mail" title="E-mail the corresponding author}
• 刊名：Annals of Vascular Surgery
• 出版年：2016
• 出版时间：July 2016
• 年：2016
• 卷：34
• 期：Complete
• 页码：268.e5-268.e8
• 全文大小：1318 K

文摘

Extracranial carotid artery aneurysms are rare. Treatment options for these lesions include endovascular interventions, such as coiling and stenting, or surgical reconstruction, such as resection and primary reanastomosis, or interposition bypass grafting. In this report, we describe the surgical technique used to perform surgical repair of an internal carotid artery aneurysm extending up to the base of the skull. Anterior exposure of the infratemporal fossa and distal control of the carotid artery at the level of the carotid canal was achieved through a transcervical approach, performing double mandibular osteotomies with superior reflection of the middle mandibular section.