Use of a common carotid artery for arterial inflow in extracorporeal circulation: side-related flow and pressure profile

Background: There are no guidelines for the optimal timing of surgery (emergency vs. delayed) for ascending aortic dissection with acute ischemic stroke. We retrospectively compared the prognoses and radiological and clinical findings for concomitant aortic dissection and ischemic stroke in a series of case reports. Case presentation: Three patients presented with left hemiparesis. Patient 1 underwent surgery for acute aortic dissection without treatment for acute ischemic stroke. In Patient 2, emergency stenting could not be performed due to cardiac tamponade and hypotension. Therefore, emergency acute aortic dissection surgery was performed. Patient 3 underwent emergency right common carotid artery stenting followed by surgery for acute aortic dissection. Brain perfusion computed tomography angiography (CTA) was performed to diagnose severe stenosis of the right common carotid artery or occlusion concomitant with acute aortic dissection involving the aortic arch with a cerebral perfusion mismatch in all the patients. Patient 3 had postoperative local cerebral infarction, whereas patients 1 and 2 (without stent insertion) had extensive postoperative cerebral infarction. Conclusion: Patient 3 showed a better prognosis than patients without stent treatment. We suggest that perfusion CTA of the aortic arch in suspected acute ischemic stroke can facilitate early diagnosis and prompt treatment in similar patients.

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Role of NO in Flow-Induced Remodeling of the Rabbit Common Carotid Artery

Arteriosclerosis Thrombosis and Vascular Biology ◽

10.1161/01.atv.16.10.1256 ◽

1996 ◽

Vol 16 (10) ◽

pp. 1256-1262 ◽

Cited By ~ 225

Author(s):

François Tronc ◽

Michel Wassef ◽

Bruno Esposito ◽

Daniel Henrion ◽

Seymour Glagov ◽

...

Keyword(s):

Carotid Artery ◽

Common Carotid Artery

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Common Carotid Artery Stiffness and Patterns of Left Ventricular Hypertrophy in Hypertensive Patients

Hypertension ◽

10.1161/01.hyp.25.4.651 ◽

1995 ◽

Vol 25 (4) ◽

pp. 651-659 ◽

Cited By ~ 99

Author(s):

Pierre Boutouyrie ◽

Stéphane Laurent ◽

Xavier Girerd ◽

Athanase Benetos ◽

Patrick Lacolley ◽

...

Keyword(s):

Carotid Artery ◽

Left Ventricular Hypertrophy ◽

Common Carotid Artery ◽

Ventricular Hypertrophy ◽

Left Ventricular ◽

Hypertensive Patients ◽

Artery Stiffness

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Dimethylarginines correlate to common carotid artery wall layer dimensions and cardiovascular risk factors in pregnant women with/without preeclampsia: A group comparative study

European Journal of Obstetrics & Gynecology and Reproductive Biology ◽

10.1016/j.ejogrb.2021.01.016 ◽

2021 ◽

Vol 258 ◽

pp. 288-293

Author(s):

Tansim Akhter ◽

Gerhard Wikström ◽

Marita Larsson ◽

Ulf Bondesson ◽

Mikael Hedeland ◽

...

Keyword(s):

Risk Factors ◽

Cardiovascular Risk ◽

Carotid Artery ◽

Comparative Study ◽

Pregnant Women ◽

Cardiovascular Risk Factors ◽

Common Carotid Artery ◽

Wall Layer ◽

Artery Wall ◽

Carotid Artery Wall

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Synchronous Carotid Bifurcation Endarterectomy and Retrograde Kissing Stenting of the Innominate and Left Common Carotid Artery in a Patient with a Bovine Aortic Arch

Case Reports in Surgery ◽

10.1155/2017/4239829 ◽

2017 ◽

Vol 2017 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Alessandro Robaldo ◽

Guido Carignano ◽

Alberto Balderi ◽

Claudio Novali

Keyword(s):

Carotid Artery ◽

Aortic Arch ◽

Common Carotid Artery ◽

Carotid Arteries ◽

High Risk Patient ◽

Carotid Bifurcation ◽

Left Common Carotid Artery ◽

The Right ◽

Bovine Aortic Arch ◽

Common Carotid Arteries

Management of the symptomatic multiple stenosis of supra-aortic vessels (MSSVs) in a “bovine” aortic arch (BAA) configuration is infrequently reported. The optimal treatment choice remains debatable. A successful hybrid treatment for a proximal critical stenosis of the innominate and left common carotid artery was performed in a high-risk patient with a tandem symptomatic lesion in the right carotid bifurcation and a concentric vulnerable plaque in the bovine trunk. This case supports the feasibility, safety, and efficacy of a combined carotid bifurcation endarterectomy and retrograde kissing stenting of common carotid arteries with cerebral protection after evaluation of radiological, anatomical, and clinical parameters.

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