Distal Cervical Carotid Artery Dissection after Carotid Endarterectomy: A Complication of Indwelling Shunt
نویسندگان
چکیده
The technical factors and surgical methods employed in carotid endarterectomy are controversial. In particular, whether or not to use an indwelling arterial shunt during carotid endarterectomy remains a source of conflict. We describe a rare case in which uncomplicated carotid endarterectomy was followed by distal internal carotid artery dissection and suggest that this devastating complication was due to intimal damage produced by the use of an indwelling arterial shunt.
منابع مشابه
[Monitoring of somatosensory evoked potentials during extracranial revascularization].
Intraoperative somatosensory evoked potentials (SEPs) were measured in 17 patients during 21 extracranial revascularization and related procedures. The operations included 13 carotid endarterectomies (CEAs), two cervical internal carotid ligations, one vertebral artery (VA) clipping, one VA-common carotid artery (CCA) transposition, and four temporary balloon occlusion tests (TBOTs). Three of t...
متن کاملCarotid Endarterectomy for Atherosclerotic Stenosis Associated with Non-bifurcating Cervical Carotid Artery: A Case Report
We report a case of a 79-year-old man presenting with left cervical carotid artery stenosis associated with non-bifurcating cervical carotid artery, a very rare congenital anatomical variation supplying different branches of the external carotid artery directly from a common trunk without a bifurcation. We performed carotid endarterectomy for this symptomatic carotid artery atherosclerotic sten...
متن کاملTwo Cases of Carotid Artery Stenting Combined Balloon- and Self-expanding Stent for the Spontaneous Internal Carotid Artery Dissections
Objective: Although conservative treatment is the first choice for high cervical internal carotid artery (ICA) stenosis due to spontaneous cervical ICA dissection, surgical revascularization is necessary when the disease resists conservative treatment. Although such lesions are difficult to treat by conventional carotid endarterectomy (CEA) or carotid artery stenting (CAS), they may be treated ...
متن کاملA literature review on anesthetic practice for carotid endarterectomy surgery basd on cost, hemodynamic stability, and neurologic status
AANA Journal/June 2007/Vol. 75, No. 3 193 Carotid endarterectomy is a procedure used to treat severe atherosclerotic occlusive disease involving the internal carotid arteries, most often at the common carotid artery bifurcation. The operation is performed by opening the common carotid arteries and the proximal internal carotid arteries in the neck, removing plaques from the inside of the arteri...
متن کاملAnaesthesia for carotid artery surgery.
Twenty-one carotid endarterectomies were performed on 18 patients anaesthetised during droperidol, fentanyl and a cervical plexus block. This technique permitted testing for motor function during carotid clamping, and allowed the operation to proceed safely without a shunt in the majority of patients.
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره 2010 شماره
صفحات -
تاریخ انتشار 2010