The concept of Intravascular Technology is an advanced stage of the Medical vascular diseases therapy due to the easy usage by surgeon and the little rescue it involves on patients comparing to the traditional surgery.
In this study, we have discu
ssed one of the most modern methods of the Treatment of the Aneurysm of the Abdominal Aorta using the internal prosthesis through the artery. This has been achieved via the femoral artery. We also identified the prosthesis patterns and the used methods to get through those arteries as well as identifying the main indications and the importance of selecting the suitable patients regarding their age and health status.
We also carried out a comparison among many International studies involving the development and usage of this technology worldwide.
Indeed this therapy involves high material cost but the results prove its importance in rescuing many patients' lives that are classified to be in high rescue within traditional surgery.
Extracranial carotid artery aneurysm (ECAA) is extremely rare, accounting for only 0.4-4% of all
peripheral artery aneurysms. Sir Astley Cooper is credited with the first successful operation for ECAA in
1808.
These aneurysms are of interest becau
se they have diverse etiologies and present diagnostic and
therapeutic challenges. The symptoms of ECAAs vary according to their location, size, and etiology. The
presentation of such aneurysms may vary from an asymptomatic mass in the neck to the development of a
permanent neurological deficit as a consequence of micro emboli arising from within the aneurysmal sac.
Although most carotid artery aneurysms are caused by atherosclerosis, other common causes include
trauma and infection.
Carotid artery aneurysms are usually diagnosed by means of ultrasonographic scanning. Additional
diagnostic testing -by computed tomographic angiography, or magnetic resonance imaging- can lead to
more accurate information on the aneurysm’s size and its relationship to surrounding structures.
We herein report an extra cranial carotid artery aneurysm detected in a 46 years old patient with
complaint of neurologic Symptoms. Because aneurysm located in the distal ICA, the treatment involved
stent graft deployment. There has been no complications noted during the 10 months follow up after
treatment.
In conclusion, Extra Cranial Carotid Artery Aneurysm is a rare condition and has high rate of
complication with conservative approach.
Atherosclerosis and infectious diseases are the most common cause. Ultrasonography, computerized
tomography, and arteriography are used to make the diagnosis and treatment is achieved by
surgery or percutaneous techniques.
We herein report a SMA a
neurysm detected in a 39 years old patient with complaint of abdominal pain.
The surgical treatment involved the aneurysm ligation and revascularization with greater saphenous vein
interposition graft.
We studied 67 cases of left ventricular aneurysm following a myocardial
infarction through 1993 to 2002.
22 Patients had only aneurysmectomy
45 Patients had aneurysmectomy + CABG + Mitral surgery.
Death percentage in the first year after surgery
was 8.9 %.
The good clinical and haemodynamical results are due to the clear
indication of surgery on patients who had more than 25% of the LVDV
involved by aneurysm.
