BACKGROUND AND PURPOSE The purpose of this study was to assess the incidence of de novo aneurysm formation, the incidence of subarachnoid hemorrhage (SAH), and the growth of existing untreated aneurysms in 52 patients after therapeutic carotid artery balloon occlusion for carotid aneurysms. PATIENTS AND METHODS Between January 1996 and August 2004, 52 patients were treated with carotid artery...

We report a difficult case of recurrent carotid blowout syndrome in a patient who had a rupture of the common carotid artery with formation of a large pseudoaneurysm. Conventional management of this emergency, consisting of composite occlusion of the internal and common carotid arteries, was not possible owing to prior clinical failure of balloon test occlusion. This led to an initial attempt t...

BACKGROUND The relative stability of cerebral blood flow is maintained by the baroreflex and cerebral autoregulation (CA). We assessed the relationship between baroreflex sensitivity (BRS) and CA in patients with atherosclerotic carotid stenosis or occlusion. METHODS AND RESULTS Patients referred for assessment of atherosclerotic unilateral >50% carotid stenosis or occlusion were included. Te...

Carotid artery occlusion is a major risk factor for ischemic stroke. Endovascular treatment of carotid artery occlusion in high-risk patients offers a therapeutic option to reduce subsequent ischemic events. The technical success and avoidance of complications of the endovascular recanalization of occluded carotid artery is contingent on proper visualization of the vessel wall. To highlight the...

The pathogenesis of embolic events ipsilateral to an occluded carotid artery is uncertain. To examine this question we combined occlusion of the left common carotid artery with embolism from the right common carotid artery in rats. Following ligation of the left carotid artery in 20 experimental rats, we irradiated the right carotid artery with a laser (632 nm, 200 mW/cm2, 12-15 minutes) follow...

This study correlates the appearance of the cavernous segment of the carotid artery on MR images with the presence of significant stenosis or occlusion of the cervical carotid artery as seen on angiograms in 100 patients who had brain MR imaging and arteriography within a 1-week period. Four patients demonstrated isointense signal within the carotid artery's cavernous segment; two of these find...

BACKGROUND Carotid stenting has been advocated in patients with grade III blunt carotid artery injuries (hereafter referred to as "blunt CAIs") because of the persistence of the pseudoaneurysm and concern for subsequent embolization or rupture. HYPOTHESIS Carotid stenting is safe and effective for blunt CAIs. DESIGN Analysis of a prospective database of all patients with blunt CAIs. SETTI...

In this study, 26 white New Zealand rabbits weighing between 2-3.5kg were used. Anaesthesia was induced with 1.5glkg urethane intraperitoneally. The ear vein was canulated and an intravenous supply was provided. The femoral artery was catheterized and used to monitor blood pressure. The haemodynamic effects of carotid artery occlusion are not well known. Therefore occluded carotid artery causes...

Naturally occurring collatera l pathways con necting the external carotid artery branches and the intracran ial cerebral circulation are well recognized and have been demonstrated anatomically, angiographically, and physiologically by vari­ ous flow detection devices. Under normal c ircumstances, all internal carotid artery blood flow is direc ted intracranially, and flow through the co ll ater...