Mandibular subluxation for distal internal carotid exposure: Technical considerations
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چکیده
منابع مشابه
Carotid artery stent placement with distal balloon protection: technical considerations.
BACKGROUND AND PURPOSE Most neurologic events that complicate the carotid artery stent placement procedure are embolic. Strategies are being developed and evaluated for their ability to minimize the clinical embolic risk. The purpose of this study was to determine the feasibility, safety, and technical considerations of performing carotid artery stent placement with use of a distal balloon anti...
متن کاملCarotid artery stenting: technical considerations.
BACKGROUND AND PURPOSE Carotid endarterectomy (CEA) is one of the most frequently performed operations in the United States. To offer patients a less invasive means to achieve the same goal, carotid artery stenting (CAS) is investigated as an alternative treatment to CEA. METHODS Three hundred ninety patients underwent CAS, with 451 vessels treated. CAS was performed using a coaxial system wi...
متن کاملHead and neck extension-fixation with a head frame for exposure of the distal internal carotid artery in carotid endarterectomy--technical note.
Adequate exposure of the distal internal carotid artery (ICA) for carotid endarterectomy may be difficult to achieve because of the position of the mandible and associated soft tissues. A simple yet effective use of a head frame is described to gain several centimeters of exposure of the distal ICA. The patient's head and neck are fixed in an extension position using a radiolucent head frame. N...
متن کاملUnilateral internal carotid arterial occlusion: special considerations.
Cases of patients with unilateral internal carotid arterial occlusion and contralateral internal carotid arterial stenosis are reviewed. Forty-two percent presented with a fixed neurological deficit. The deficit was referable to the side of occlusion in 92% and to the side of stenosis in 8%. Eleven percent had a neurological complication following carotid endarterectomy on the side of the steno...
متن کاملEfficacy of Mandibular Subluxation for Carotid Endarterectomy with Combined Fixation Using Interdental Wire and Putty
Bifurcation of the carotid artery at a cephalic location greatly increases the risk associated with carotid endarterectomy (CEA). Mandibular subluxation (MS) can improve access to the cephalic location; however, the benefits of MS remain unclear. The present study objectively assessed the efficacy of MS. MS was performed with only wire fixation of healthy teeth in four patients (Group A), with ...
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ژورنال
عنوان ژورنال: Journal of Vascular Surgery
سال: 1999
ISSN: 0741-5214
DOI: 10.1016/s0741-5214(99)70052-2