Objectives: Mycotic pseudoaneurysms of the extracranial internal carotid artery are rare, and their management often represents a challenge, but treatment is necessary due to the high risk of rupture and distal brain embolization. Systemic antibiotics associated with open surgical excision of the infected tissues and carotid reconstruction using autologous grafts are the treatment of choice. The use of endovascular techniques still remains controversial in infective fields; however, it can be an attractive alternative in high-risk patients or more often as a “temporary” solution to achieve immediate bleeding control for a safe surgical reconstruction. Methods: We discuss the unusual case of an extracranial right internal carotid artery mycotic pseudoaneurysm following methicillin-resistant Staphylococcus aureus infection, in a patient with poor general conditions. Results and Conclusion: The lesion was successfully treated using a hybrid endovascular and surgical procedure.
Hybrid endovascular and surgical approach for mycotic pseudoaneurysms of the extracranial internal carotid artery / D. Mazzaccaro, S. Stegher, M.T. Occhiuto, G. Malacrida, P. Righini, D.G. Tealdi, G. Nano. - In: SAGE OPEN MEDICINE. - ISSN 2050-3121. - 2(2014), pp. 2050313X14558081.1-2050313X14558081.5.
|Titolo:||Hybrid endovascular and surgical approach for mycotic pseudoaneurysms of the extracranial internal carotid artery|
MAZZACCARO, DANIELA PALMIRA (Primo)
STEGHER, SILVIA (Secondo)
TEALDI, DOMENICO GIUSEPPE (Penultimo)
NANO, GIOVANNI (Ultimo)
|Parole Chiave:||mycotic pseudoaneurysms; hybrid treatment; internal carotid artery|
|Settore Scientifico Disciplinare:||Settore MED/22 - Chirurgia Vascolare|
|Data di pubblicazione:||2014|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.1177/2050313X14558081|
|Appare nelle tipologie:||01 - Articolo su periodico|