Retrograde Suction Decompression Through Direct Puncture of the Common Carotid Artery for Paraclinoid Aneurysm

Author(s):  
Naoki Otani ◽  
Kojiro Wada ◽  
Terushige Toyooka ◽  
Kazuya Fujii ◽  
Hideaki Ueno ◽  
...  
1997 ◽  
Vol 5 (1) ◽  
pp. 53-55
Author(s):  
Vinayak Nilkanth Bapat ◽  
Manish Porwal ◽  
Nandkumar Agrawal ◽  
Anil Gangadhar Tendolkar

A 39-year-old male underwent an attempted right internal jugular vein cannulation during which the right common carotid artery was punctured. Three months later, the patient presented with dysphagia and breathlessness. Carotid angiography failed to demonstrate the pseudoaneurysm because of intra-aneurysmal clots but it was partially delinated by a direct puncture arteriogram of the swelling. At surgery a pseudoaneurysm measuring 8 × 6 cm was excised and the carotid artery was repaired with a saphenous vein patch.


Author(s):  
Brian Silver ◽  
Irene Gulka ◽  
Michael Nicolle ◽  
Ramesh Sahjpaul ◽  
Vladimir Hachinski

Background:The observation of an intraluminal common carotid artery thrombus overlying a wall defect at ultrasonography or angiography is unusual. To our knowledge, there are no previous reports of a free-floating thrombus in the common carotid artery.Case Report:A 45-year-old woman who was previously healthy and on no medications presented with acute hemiparesis and aphasia. Following testing that included carotid duplex and trancranial Doppler ultrasonography, diffusion-weighted magnetic resonance imaging, and digital subtraction angiography, the patient underwent emergency open embolectomy. No underlying wall defect was seen at the time of imaging or surgery. No obvious hypercoagulable state could be identified. Her NIH Stroke Scale score improved from 26 at admission to 2 at three months and 1 at one year.Conclusions:Multimodal imaging may have improved diagnosis and management in this patient with a unique finding. The source of the thrombus remains obscure.


2018 ◽  
Vol 13 (4) ◽  
pp. 917-920
Author(s):  
Koji Tanaka ◽  
Shoji Matsumoto ◽  
Takeshi Yamada ◽  
Daisuke Kondo ◽  
Hideo Chihara ◽  
...  

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