Home > Riviste > The Journal of Cardiovascular Surgery > Fascicoli precedenti > The Journal of Cardiovascular Surgery 2001 April;42(2) > The Journal of Cardiovascular Surgery 2001 April;42(2):233-6

ULTIMO FASCICOLO
 

JOURNAL TOOLS

eTOC
Per abbonarsi
Sottometti un articolo
Segnala alla tua biblioteca
 

ARTICLE TOOLS

Estratti
Permessi

 

ORIGINAL ARTICLES  VASCULAR PAPERS 

The Journal of Cardiovascular Surgery 2001 April;42(2):233-6

Copyright © 2009 EDIZIONI MINERVA MEDICA

lingua: Inglese

Outpatient management of superficial temporal artery aneurysms

Porcellini M., Bernardo B., Spinetti F., Carbone F.

From the Department of Vascular Surgery Federico II University, Naples, Italy


PDF


Background. To eval­u­ate ­the fea­sibil­ity ­and safe­ty of sur­gi­cal treat­ment of ­the super­fi­cial tem­po­ral ­artery aneurysms on an out­pa­tient ­basis.
Methods. The ­records of 5 ­patients ­seen at ­our insti­tu­tion ­from 1983 to 1997 ­were ­reviewed ret­ro­spec­tive­ly. Preoperative diag­no­sis ­was ­made by ­patient’s his­to­ry ­and phys­i­cal exam­ina­tion, ­with no fur­ther eval­u­a­tion.
Results. Outpatient liga­tion ­and exci­sion of ­four aneu­rysms of dis­tal branch­es of ­the super­fi­cial tem­po­ral ­artery (3 fron­tal, 1 parie­tal) ­and ­one involv­ing ­its prox­i­mal por­tion ­was per­formed ­under ­local anes­the­sia. Supplementation ­with min­i­mal intra­ve­nous seda­tion facil­i­tat­ed ­the treat­ment in an uncoop­er­a­tive ­child ­and in ­the ­patient affect­ed ­with prox­i­mal ­STA aneu­rysm. All pro­ce­dures ­were unevent­ful. Patients ­were dis­charged a ­few ­hours ­after sur­gi­cal treat­ment. No ­patient ­required hos­pi­tal­iza­tion fol­low­ing dis­charge. No recur­rence ­was not­ed dur­ing fol­low-up peri­ods of 2 to 16 ­years.
Conclusions. Outpatient diag­no­sis ­and exci­sion of aneu­rysm of ­the super­fi­cial tem­po­ral ­artery ­can be per­formed safe­ly. Significant advan­tag­es of ­this path­way ­include no hos­pi­tal admis­sion ­and ­cost reduc­tion.

inizio pagina