Republished: Endovascular retrieval of dental needle retained in the internal carotid artery

2017 ◽  
Vol 9 (7) ◽  
pp. e26-e26
Author(s):  
Kenneth Moore ◽  
Nickalus R Khan ◽  
L Madison Michael ◽  
Adam S Arthur ◽  
Daniel Hoit
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Oral Mucosa ◽  
Foreign Bodies ◽  
Internal Carotid ◽  
Endovascular Techniques ◽  
First Report ◽  
Dental Procedures

Intravascular foreign bodies are a known complication of medical and dental procedures. Dental anesthetic needles may be broken off and retained in the oropharynx. These needles have occasionally been reported to migrate through the oral mucosa in to deeper structures. Here we present the case of a 57-year-old man who had a retained dental needle that had migrated into his internal carotid artery. The needle was removed using endovascular techniques. To our knowledge, this is the first report of a retained dental needle being retrieved using this method. We review the literature on intravascular foreign bodies, retained dental needles, and endovascular techniques for retrieval of such foreign bodies.

scholarly journals Cervical-petrous internal carotid artery pseudoaneurysm presenting with otorrhagia treated with endovascular techniques

2014 ◽  
Vol 2014 (jun30 1) ◽  
pp. bcr2014011286-bcr2014011286 ◽  
Author(s):  
J. R. Mascitelli ◽  
R. A. De Leacy ◽  
E. K. Oermann ◽  
B. Skovrlj ◽  
E. E. Smouha ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Endovascular Techniques ◽  
Artery Pseudoaneurysm

Atypical fibromuscular hyperplasia

1981 ◽  
Vol 54 (5) ◽  
pp. 685-689 ◽  
Author(s):  
Fremont P. Wirth ◽  
William A. Miller ◽  
A. Preston Russell
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Common Carotid Artery ◽  
Internal Carotid ◽  
Content Type ◽  
First Report ◽  
Fourth Report ◽  
Fibromuscular Hyperplasia ◽  
The Common ◽  
Fine Print

✓ Two cases of atypical fibromuscular hyperplasia of the internal carotid artery (ICA) are reported. These cases are unique because the changes involve the intima of the vessels without involvement of medial structures as seen in the more common form of fibromuscular hyperplasia. Case 1 is only the fourth report of a symptomatic fibromuscular stenosis at the origin of the ICA. Case 2 is the first report of fibromuscular hyperplasia involving the common carotid artery. Changes similar to those in Case 2 (an elongated area of tubular fibromuscular stenosis) have been reported in the ICA. These atypical or intimal forms of fibromuscular hyperplasia appear to be more common in males and blacks, and may be more often unilateral as well.

scholarly journals Carotid endarterectomy compared with angioplasty and stenting: the status of the debate

1998 ◽  
Vol 5 (6) ◽  
pp. E4
Author(s):  
Felipe C. Albuquerque ◽  
George P. Teitelbaum ◽  
Donald W. Larsen ◽  
Steven L. Giannotta
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Carotid Endarterectomy ◽  
Internal Carotid ◽  
Prospective Evaluation ◽  
Endovascular Techniques ◽  
The Status ◽  
Potential Benefits ◽  
Angioplasty And Stenting ◽  
Symptomatic Stenosis

Endarterectomy is the treatment of choice for patients with symptomatic stenosis of the internal carotid artery. Recently, debate has arisen over the potential benefits of endovascular techniques. Although retrospective analyses of angioplasty and stenting procedures suggest comparable clinical efficacy to endarterectomy, prospective evaluation is pending. The authors review the status of the debate and discuss those issues on both sides that are particularly contentious and clinically relevant.

Cervical–petrous internal carotid artery pseudoaneurysm presenting with otorrhagia treated with endovascular techniques

2014 ◽  
Vol 7 (7) ◽  
pp. e25-e25 ◽  
Author(s):  
Justin R Mascitelli ◽  
Reade A De Leacy ◽  
Eric K Oermann ◽  
Branko Skovrlj ◽  
Eric E Smouha ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Endovascular Techniques ◽  
Artery Pseudoaneurysm

Retained Transcranial Knife Blade With Transection of the Internal Carotid Artery Treated by Staged Endovascular and Surgical Therapy: Technical Case Report

2015 ◽  
Vol 11 (2) ◽  
pp. 372-375 ◽  
Author(s):  
Lisa M Kodadek ◽  
W Robert Leeper ◽  
Justin M Caplan ◽  
Camilo Molina ◽  
Kent A Stevens ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Surgical Therapy ◽  
Coil Embolization ◽  
Foreign Bodies ◽  
Internal Carotid ◽  
Left Internal Carotid Artery ◽  
Knife Blade ◽  
Neurologically Intact

Abstract BACKGROUND AND IMPORTANCE We describe the use of proximal and distal endovascular coil embolization of the internal carotid artery followed by operative removal of a retained foreign object transecting the petrocavernous portion of the internal carotid artery. CLINICAL PRESENTATION A 20-year-old man sustained a stab wound to the left temporal skull and presented with a retained knife blade. He reported a headache at presentation, but remained neurologically intact with a Glasgow Coma Scale of 15. Computed tomography imaging and subsequent angiography confirmed complete transection of the petrocavernous segment of the left internal carotid artery with effective tamponade by the knife blade in situ and satisfactory collateral flow across the Circle of Willis. Coil embolization of the left internal carotid artery was performed. Retrograde embolization of the petrocavernous internal carotid segment distal to the injury was performed via vertebral and posterior communicating artery access. Antegrade embolization of the internal carotid artery proximal to the injury was completed and the patient was transferred to the operating room for craniectomy and foreign body extraction. Postoperative computed tomography angiography revealed no parenchymal hemorrhage, mass effect, or midline shift, and successful embolization of the internal carotid artery. At 6-week follow-up, the patient remained neurologically intact with no infectious or vascular complications. CONCLUSION Staged endovascular and surgical therapy provides complete assessment and effective control of damaged vessels when retained intracranial foreign bodies are present. Given the high risk of vascular injury with retained transcranial foreign bodies, this strategy should be considered a safe approach for these challenging cases.

scholarly journals Disappeared Pulsatile Tinnitus Related to Petrous Segment Stenosis of the ICA after Relief of the Stenosis by Stenting

2013 ◽  
Vol 19 (1) ◽  
pp. 97-101 ◽  
Author(s):  
Y.K. Ihn ◽  
W.S. Jung ◽  
B-S. Kim
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Turbulent Flow ◽  
Carotid Stenosis ◽  
Internal Carotid ◽  
Pulsatile Tinnitus ◽  
Endovascular Techniques ◽  
Vascular Stenosis

Pulsatile tinnitus may result from turbulent flow within the internal carotid artery (ICA). Atherosclerotic carotid stenosis is a rare but well-known cause of pulsatile tinnitus. The classical treatment was endarterectomy or ligation for proximal ICA disease or stenting for distal ICA lesions. Endovascular techniques offer new ways to treat atherosclerotic vascular stenosis lesions. We describe two cases of pulsatile tinnitus caused by stenosis within the petrous segment of the ICA and treated by stent-assisted angioplasty.

scholarly journals Purtscher’s Retinopathy Associated with Tortuous Internal Carotid Artery

1970 ◽  
Vol 12 (3) ◽  
pp. 179-180
Author(s):  
Soo Park ◽  
Lik Thai Lim ◽  
Timothy Fetherston
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Clinical Findings ◽  
Cotton Wool ◽  
Blurred Vision ◽  
First Report ◽  
Purtscher’S Retinopathy ◽  
Cotton Wool Spots

This report is of a 71-year-old woman with unilateral non-traumatic left Purtscher’s retinopathy following shoulder exercises. She developed blurred vision in the left eye a few hours after the exercises. The only clinical findings of note were an ipsilateral tortuous internal carotid artery and multiple cotton wool spots around the left macula region consistent with Purtscher’s retinopathy. To the authors’ knowledge, this is the first report illustrating internal carotid artery tortuosity as an underlying rare cause of Purtscher’s retinopathy.

scholarly journals Traumatic Carotid-Cavernous Fistula: Endovascular Treatment with Onyx and Coils

2005 ◽  
Vol 11 (4) ◽  
pp. 363-367 ◽  
Author(s):  
C.E. Baccin ◽  
C.M.S. Campos ◽  
R. Abicalaf ◽  
L.H.T. Kanashiro ◽  
M.R. Bolcato ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Cavernous Sinus ◽  
Internal Carotid ◽  
Inferior Petrosal Sinus ◽  
Endovascular Techniques ◽  
Carotid Cavernous Fistula ◽  
Large Hole ◽  
Post Traumatic ◽  
Carotid Cavernous Fistulas

Carotid cavernous fistulas (CCF) are mostly post-traumatic and are due to a tear of the internal carotid artery (ICA) inside the cavernous sinus. The improvement of endovascular techniques with venous approach enables the preservation of internal carotid artery patency in most cases when detachable balloons fail in order to reconstruct and repair the tear in the ICA. The case described here has a giant aneurysmatic dilatation of the cavernous sinus and inferior petrosal sinus. We associate coils and Onyx to occlude the lesion preserving and repairing the large hole of the fistula.

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