The Impact of Intracranial Carotid Artery Calcification on the Development of Thrombolysis-Induced Intracerebral Hemorrhage

Acute type A aortic dissection is a surgical emergency and management of such pathology can be complex with poor outcomes when there is organ malperfusion. Carotid artery involvement is present in 30% of patients diagnosed with acute type A aortic dissection, and given its emergency and complex nature, there is much controversy regarding the approach, extent of treatment, and timing of the intervention. It is clear that the occurrence of cerebral malperfusion adds an extra layer of complexity to the decision-making framework for treatment. Standardization and validation of the optimal management approach is required, and this should ideally be addressed with large-scale studies. Nonetheless, current literature supports the need for rapid recognition and diagnosis of acute type A aortic dissection with cerebral malperfusion, immediate and extensive surgical repair, and the appropriate use of cerebral perfusion techniques. This paper aims to discuss the current evidence regarding the impact of carotid artery involvement in both the management and outcomes of acute type A aortic dissection.

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The Prevalence of Carotid Artery Calcification on the Panoramic Radiographs in Cappadocia Region Population

European Journal of Dentistry ◽

10.1055/s-0039-1698328 ◽

2007 ◽

Vol 01 (03) ◽

pp. 132-138 ◽

Cited By ~ 13

Author(s):

Yildiray Sisman ◽

Elif Tarim Ertas ◽

Cumali Gokce ◽

Ahmed Menku ◽

Mustafa Ulker ◽

...

Keyword(s):

Carotid Artery ◽

Turkish Population ◽

Smoking History ◽

Panoramic Radiographs ◽

Carotid Artery Calcification ◽

Medical Evaluation ◽

Life Saving ◽

Males And Females ◽

School Of Dentistry ◽

And Gender

ABSTRACTObjectives: The aim of this study is to determine retrospectively the presence of carotid artery calcifications (CACs) detected on panoramic radiographs (PRs) in a group of Turkish population. Further, the relationships between CACs and gender, life style, and medical history were evaluated.Methods:During the years 2004 to 2006, a random sample of 1282 PRs was collected from patients older than 40 years who were being treated by the School of Dentistry, Erciyes University. Of these 1282 PRs, 750 PRs were included in this study. Medical data was collected from the archival records of the dental school.Results: About 38 (5.06%) CACs were found on the PRs of 12 (4.5%) males and 26 (5.4%) females. The CAC prevalence was not significantly different between the males and females (P=0.583). These calcifications were unilateral in 26 (68.4%) and bilateral in 12 (31.6%) subjects. Of those in the positive group, there were 12 subjects (31.58%) with hyperlipidemia, 12 subjects (31.58%) with hypertension, 7 subjects (18.4%) with diabetes mellitus, 6 subjects (15.8%) with cardiovascular disease, and 6 subjects (15.8%) with smoking history.Conclusions: This study has the highest CACs prevalence in comparison to the other studies. Therefore, dentists caring for subjects with dental problems should carefully evaluate their PRs for the evidence of CACs, and refer them for medical evaluation as indicated. So, incidental findings could provide life-saving information. (Eur J Dent 2007;1:132-138)

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PC072. The Impact of Stent Geometry on Outcomes of Carotid Artery Stenting

Journal of Vascular Surgery ◽

10.1016/j.jvs.2018.03.281 ◽

2018 ◽

Vol 67 (6) ◽

pp. e193-e194

Author(s):

Muhammad Faateh ◽

Muhammad Rizwan ◽

Satinderjit Locham ◽

Hanaa Dakour Aridi ◽

Mark F. Conrad ◽

...

Keyword(s):

Carotid Artery ◽

Carotid Artery Stenting ◽

Stent Geometry ◽

The Impact

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Hyperperfusion Syndrome: Toward a Stricter Definition

Neurosurgery ◽

10.1227/01.neu.0000088738.80838.74 ◽

2003 ◽

Vol 53 (5) ◽

pp. 1053-1060 ◽

Cited By ~ 126

Author(s):

◽

Shelagh B. Coutts ◽

Michael D. Hill ◽

William Y. Hu ◽

Garnette R. Sutherland

Keyword(s):

Carotid Artery ◽

Intracerebral Hemorrhage ◽

Carotid Endarterectomy ◽

Clinical Presentation ◽

Imaging Techniques ◽

Neurological Deficits ◽

Acute Hemorrhage ◽

Motor Weakness ◽

Hyperperfusion Syndrome ◽

Angioplasty And Stenting

Abstract OBJECTIVE Hyperperfusion syndrome is a rare and potentially devastating complication of carotid endarterectomy or carotid artery angioplasty and stenting. With the advent of new imaging techniques, we reviewed our experience with this phenomenon. METHODS This report is a retrospective review of 129 consecutive cases of carotid endarterectomy performed between June 1, 2000, and May 31, 2002, and 44 consecutive cases of carotid artery angioplasty and stenting performed between January 1, 1997, and May 31, 2002. We specifically searched for examples of patients who developed postprocedural nonthrombotic neurological deficits that typified the hyperperfusion syndrome. RESULTS Seven cases of hyperperfusion syndrome occurred, four after endarterectomy (3.1% of carotid endarterectomy cases) and three after stenting (6.8% of stenting cases). The cases of hyperperfusion were classified as presenting with 1) acute focal edema (two cases with stroke-like presentation, attributable to edema immediately after revascularization), 2) acute hemorrhage (two cases of intracerebral hemorrhage immediately after stenting and one case immediately after endarterectomy), or 3) delayed classic presentation (two cases with seizures, focal motor weakness, and/or late intracerebral hemorrhage at least 24 hours after endarterectomy). CONCLUSION Hyperperfusion syndrome may be more common and more variable in clinical presentation than previously appreciated.

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