Mycotic Extracranial Carotid Artery Aneurysms: A Systematic Review

Mycotic extracranial carotid artery aneurysms are rare and their management varies owing to a lack of evidence assessing the outcomes. We undertook systematic literature review assess appropriate treatment mycotic aneurysms. Following PRIMSA (preferred reporting items for reviews meta-analyses) guidelines, Medline Embase databases were searched all cases between January 1970 March 2021. The search terms used “infect,” “abscess,” “mycotic,” “carotid,” “aneurysm,” “pseudoaneurysm.” “Aneurysm, infected” “carotid diseases” subject headings used. Titles abstracts screened before full-text reports reviewed. identified 193 such aneurysm from 154 sources. patients predominantly male (71.4%), with an age range 6 months 89 years. most common presentations neck mass fever but also included hemorrhage, respiratory distress, neurologic symptoms. Most located in internal (47.4%). Staphylococcus (23.4%) was commonly causative pathogen, followed by Mycobacterium tuberculosis (21.1%). appeared have become infected direct local spread. strategies involved open surgical methods 101 endovascular approach 41. In four cases, hybrid method involving concurrent undertaken. five antibiotic alone surgery treated group, complication rate 20.8% compared 13.2% group. Mortality 5.6%. Direct spread staphylococcus infection cause. Endovascular associated fewer complications than is recommended.