O065 Mycotic extracranial carotid artery aneurysms: a systematic review

Abstract Introduction Mycotic extracranial carotid artery aneurysms are rare and their management variable due to a lack of evidence assessing outcomes. We undertook systematic literature review assess this. Methods Following PRIMSA guidelines, MEDLINE EMBASE databases were searched for all cases between January 1970 March 2021. The search terms used infect, abscess, mycotic, carotid, aneurysm, pseudoaneurysm. Aneurysm, infected disease” subject headings used. Titles abstracts screened before full text papers reviewed. Results 193 such aneurysm identified from 154 sources. Patients predominantly male (71.4%) age ranged 6 months 89 years old. commonest presentations neck mass fever, but included haemorrhage, respiratory distress neurological symptoms. Most located in the internal (47.4%). Staphylococcus (23.4%) was most commonly causative pathogen, followed by Mycobacterium tuberculosis (21.1%). appeared become direct local spread. Treatment strategies involved open surgical methods 101 an endovascular approach 41 cases. In 4 cases, hybrid method involving concurrent undertaken. five there antibiotic treatment alone. surgery treated group, complication rate 20.8% compared 13.2% group. Mortality 5.6%. Conclusion Direct spread staphylococcus infection cause. Endovascular associated with fewer complications than is recommended. Take-home message Carotid rare. They arise or tuberculous infections. offers best results.