Reconstruction of Carotid Artery in Radical Neck Dissection

1985 ◽  
Vol 12 ◽  
pp. S103-S106 ◽  
Author(s):  
Hiroshi Okamura ◽  
Koshiro Nakamura ◽  
Naoaki Yanagihara
Keyword(s):  
Carotid Artery ◽  
Neck Dissection ◽  
Radical Neck Dissection

Transcervical Carotid Stent Placement in the Setting of a Hostile Neck and a Type III Aortic Arch

2017 ◽  
Vol 51 (5) ◽  
pp. 346-349 ◽  
Author(s):  
Lauren A. Huntress ◽  
Naiem Nassiri ◽  
Randy Shafritz ◽  
Saum A. Rahimi
Keyword(s):  
Carotid Artery ◽  
Neck Dissection ◽  
Aortic Arch ◽  
Radical Neck Dissection ◽  
Hybrid Approach ◽  
Internal Carotid Artery Stenosis ◽  
Left Internal Carotid Artery ◽  
Symptomatic Carotid ◽  
Type Iii ◽  
Hostile Neck

Previous radical neck dissection and neck irradiation pose considerable operative risks in patients requiring carotid endarterectomy for symptomatic carotid disease. Carotid stenting is an acceptable alternative for these patients but carries a higher risk of cerebrovascular accidents especially in patients with type III aortic arch anatomy. Herein, we present a technically challenging case of a patient with an irradiated neck and a history of radical neck dissection who presented with a symptomatic high-grade left internal carotid artery stenosis in the setting of a type III aortic arch. He was treated via a hybrid approach for carotid artery stenting.

scholarly journals Carotid Artery Reconstruction following Resection during Radical Neck Dissection

ORL ◽  
1998 ◽  
Vol 60 (2) ◽  
pp. 108-110 ◽  
Author(s):  
C. Soulier ◽  
P. Dulguerov ◽  
J. Maurice ◽  
A.S. Allal ◽  
B. Faidutti ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Neck Dissection ◽  
Radical Neck Dissection ◽  
Carotid Artery Reconstruction ◽  
Artery Reconstruction

Radical neck dissection: a 19-year experience

1989 ◽  
Vol 103 (8) ◽  
pp. 760-764 ◽  
Author(s):  
A. G. D. Maran ◽  
M. Amin ◽  
Janet A. Wilson
Keyword(s):  
Carotid Artery ◽  
Neck Dissection ◽  
Radical Neck Dissection ◽  
Digastric Muscle ◽  
Surgical Incision ◽  
T Stage ◽  
Wound Breakdown ◽  
N Stage ◽  
Carotid Artery Rupture

AbstractA series of 394 radical neck dissections performed over the 17 year period 1969–1986 is presented. The shortest period of follow-up is two years. Of the major complications reviewed, wound breakdown was associated with T stage, prior radiotherapy and incision used but not with age or N stage. Cervical recurrence was associated with N stage, prior radiotherapy and surgical incision and inversely associated with age. Wound breakdown and recurrence were lowest in parotid primary tumours. Carotid artery rupture occurred in 17 patients (4.3 per cent), was fatal in all cases and was strongly associated with wound breakdown and previous radiotheraphy. The importance of the choice of incision, clearance of the posterior belly of the digastric muscle and carotied artery protection are discussed.

Endovascular management of carotid artery disease after radiation therapy and radical neck dissection

2005 ◽  
Vol 18 (1) ◽  
pp. 1-4 ◽  
Author(s):  
Robert D. Ecker ◽  
Maureen T. Donovan ◽  
L. Nelson Hopkins
Keyword(s):  
Radiation Therapy ◽  
Carotid Artery ◽  
Endovascular Treatment ◽  
Neck Dissection ◽  
Stent Placement ◽  
Radical Neck Dissection ◽  
Balloon Dilation ◽  
Definitive Treatment ◽  
Adjuvant Radiation ◽  
Radiation Induced

Object More patients with head and neck cancers who undergo radical neck dissection and adjuvant radiation are experiencing prolonged survival times. Because of their improved survival, patients are living long enough to suffer the delayed effects of radiation therapy. Radiation-induced carotid artery (CA) stenosis in patients with or without radical neck dissection often requires extensive exposure and vessel reconstruction. The aim of this study was to evaluate the efficacy of endovascular treatment as an alternative therapy for radiation-induced CA stenosis. Methods Coinciding with the improved longevity of these patients, CA angioplasty and stent placement has become a definitive treatment strategy for this particularly challenging group of individuals. Long lesions are easily addressed with multiple telescoped stents. The tendency toward early restenosis can now be addressed with cutting balloon angioplasty. A review of the authors' institutional database yielded five patients (four men and one woman) with a history of radiation treatment ipsilateral to their CA stenosis. Three of five patients were symptomatic, and the interval between radiation therapy and endovascular treatment ranged from 1 to 47 years (mean 16.6 years). Four of the five patients were treated using distal embolic protection devices, and all patients underwent balloon dilation after stent placement. Conclusions As advancements are made in the technology and techniques for CA angioplasty and stent placement, the safety and durability of treatments in patients with radiation-induced atherosclerotic disease will improve.

scholarly journals Radical Neck Dissection after Vascular Reconstruction of the Carotid Artery

1999 ◽  
Vol 1999 (Supplement100) ◽  
pp. 75-79
Author(s):  
Tetsuya Ishiyama ◽  
Satoshi Katsuno ◽  
Masanori Sakaguchi ◽  
Akihiro Otsuka ◽  
Koichi Miyashita ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Neck Dissection ◽  
Radical Neck Dissection ◽  
Vascular Reconstruction
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