Page 22 - Virtual Vascular Vol 4

Carotid artery aneurysm Repair of carotid artery aneurysm with covered stent

Angle of mandible

Anterior border of

sternocleidomastoid
muscle

Skin incision

Sternal notch

A “hybrid” approach was
chosen. The R common

carotid artery was exposed
by a small incision in the
base of the neck. Direct

puncture of this artery
provides a stable easy access
Clinical presentation asymptomatic to the internal and external

neck pain carotid arteries by
pulsatile neck mass endovascular repair and
carotid bruit on auscultation
neurological symptoms eg stroke, TIA coiling

compressive symptoms eg dysarthria

Etiology atherosclerosis

connective tissue disorders
fibromuscular dysplasia
previous radiotherapy to neck region Proximal control of

trauma to neck common carotid

artery
22 Types aneurysm 23

pseudoaneurysm