scholarly journals Type D Traumatic Carotido-Cavernous Fistula Due to Selective Transection of the Inferolateral Trunk(ILT)

2003 ◽  
Vol 9 (4) ◽  
pp. 373-377 ◽  
Author(s):  
I.C. Duncan ◽  
P.A. Fourie
Keyword(s):  
Carotid Arteries ◽  
Internal Carotid ◽  
Traumatic Injury ◽  
External Carotid Artery ◽  
External Carotid ◽  
Type D ◽  
Type C ◽  
Transvenous Approach ◽  
Internal Carotid Arteries ◽  
Inferolateral Trunk

A minority of traumatic carotido-cavernous fistulas (CCF) are of the indirect variety, and then usually supplied only by meningeal branches of the ipsilateral external carotid artery (Type C). We describe a case of a Type D CCF due to traumatic injury of the inferolateral trunk (ILT), and describe its angiographic features and endovascular management through both the external and internal carotid arteries following a failed transvenous approach.

scholarly journals Unusual position of external carotid artery: a case report

2005 ◽  
Vol 38 (02) ◽  
pp. 170-171
Author(s):  
S B Rao ◽  
V R Vollala ◽  
M Rao ◽  
V P Samuel ◽  
D Deepthinath ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Carotid Arteries ◽  
Internal Carotid ◽  
Clinical Importance ◽  
Lateral Position ◽  
External Carotid Artery ◽  
External Carotid ◽  
Unusual Position ◽  
The Common ◽  
Internal Carotid Arteries

AbstractThe arterial pattern of the human body is one of the systems that show a large number of variations. Many reports are available regarding variations of common carotid, external and internal carotid arteries and branches of external carotid artery. We describe a very rare case of lateral position of external carotid artery. The external carotid artery was lateral to the internal carotid artery at the bifurcation of the common carotid artery. The clinical importance of this variation is discussed.

scholarly journals Congenital absence of internal carotid artery with intercavernous anastomosis: Case report and systematic review of the literature

2016 ◽  
Vol 22 (4) ◽  
pp. 473-480 ◽  
Author(s):  
Ibrahim Ilker Oz ◽  
Ismail Serifoglu ◽  
Omer Yazgan ◽  
Zuhal Erdem
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Collateral Circulation ◽  
Carotid Arteries ◽  
Internal Carotid ◽  
External Carotid Artery ◽  
External Carotid ◽  
Review Of The Literature ◽  
Rare Congenital Anomaly ◽  
Internal Carotid Arteries

The absence of an internal carotid artery is a rare congenital anomaly. In the absence of the internal carotid artery, collateral circulations develop through the circle of Willis, persistent embryonic arteries or transcranial collaterals of the external carotid artery. Six pathways of collateral circulation have been described. Intercavernous anastomosis is between cavernous segments of the bilateral internal carotid arteries and is rarely seen. Patients with an absence of the internal carotid artery can be completely asymptomatic. However, these patients can present with subarachnoid hemorrhage or stroke accompanying cerebral aneurysm or abnormal collateral. We combined our case with 33 previous publications to form a retrospective series including 35 cases of unilateral internal carotid artery agenesis with intercavernous anastomosis.

Classification and treatment of spontaneous carotid-cavernous sinus fistulas

1985 ◽  
Vol 62 (2) ◽  
pp. 248-256 ◽  
Author(s):  
Daniel L. Barrow ◽  
Robert H. Spector ◽  
Ira F. Braun ◽  
Jeffrey A. Landman ◽  
Suzie C. Tindall ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Cavernous Sinus ◽  
Internal Carotid ◽  
Clinical Manifestations ◽  
External Carotid Artery ◽  
External Carotid ◽  
Content Type ◽  
Type D ◽  
Type C

✓ An anatomical-angiographic classification for carotid-cavernous sinus fistulas is introduced and a series of 14 patients with spontaneous carotid-cavernous sinus fistulas is reviewed to illustrate the usefulness of such a classification for patient evaluation and treatment. Fistulas are divided into four types: Type A are direct high-flow shunts between the internal carotid artery and the cavernous sinus; Type B are dural shunts between meningeal branches of the internal carotid artery and the cavernous sinus; Type C are dural shunts between meningeal branches of the external carotid artery and the cavernous sinus; and Type D are dural shunts between meningeal branches of both the internal and external carotid arteries and the cavernous sinus. The anatomy, clinical manifestations, angiographic evaluation, indications for therapy, and therapeutic options for spontaneous carotid-cavernous sinus fistulas are discussed.

Type D Dural Carotid—Cavernous Fistula

1996 ◽  
Vol 37 (1P1) ◽  
pp. 294-298 ◽  
Author(s):  
K. Hasuo ◽  
A. Mizushima ◽  
S. Matsumoto ◽  
A. Uchino ◽  
S. Uehara ◽  
...  
Keyword(s):  
Radiation Therapy ◽  
Complete Resolution ◽  
Carotid Arteries ◽  
Internal Carotid ◽  
Symptomatic Improvement ◽  
Carotid Cavernous Fistula ◽  
Type D ◽  
One Year ◽  
Carotid Cavernous Fistulas ◽  
Internal Carotid Arteries

Purpose: To assess the efficacy of irradiation combined with particulate embolization for treating type D dural carotid—cavernous fistulas, supplied by the meningeal branches of both external (ECA) and internal carotid arteries. Material and Methods: Nine patients were treated by particulate embolization via the ECA branches, followed by radiation therapy with doses of 30 Gy. One of these patients with recurrent symptoms received an additional 30 Gy one year after initial treatment, making a total dose of 60 Gy. Results: In all cases, symptoms were improved immediately after the particulate embolizations. In 8 cases, complete resolution of symptoms were obtained in 4–19 months and an average of 8 months after treatment. In one case, chemosis was markedly improved and persisted minimally 41 months later. Conclusion: Particulate embolization is effective for immediate symptomatic improvement, and complete resolution of symptoms can usually be achieved by subsequent radiation therapy.

A Multicenter Retrospective Cohort Study of Blunt Traumatic Injury to the Common or Internal Carotid Arteries

Injury ◽  
2021 ◽  
Author(s):  
Jean Jacob-Brassard ◽  
Mohammed Al-Omran ◽  
Barbara Haas ◽  
Avery B. Nathens ◽  
David Gomez ◽  
...  
Keyword(s):  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Carotid Arteries ◽  
Internal Carotid ◽  
Traumatic Injury ◽  
The Common ◽  
Internal Carotid Arteries

scholarly journals Variations, relations and clinical significance of carotid arterial system in anterior neck: a cadaveric study

2019 ◽  
Vol 7 (4) ◽  
pp. 1127
Author(s):  
Anasuya Ghosh ◽  
Subhramoy Chaudhury ◽  
Atin Datta
Keyword(s):  
Carotid Artery ◽  
Carotid Arteries ◽  
Internal Carotid ◽  
Hypoglossal Nerve ◽  
Carotid Bifurcation ◽  
External Carotid Artery ◽  
Arterial System ◽  
External Carotid ◽  
The Common ◽  
Carotid Arterial

Background: The common carotid, internal and external carotid arteries and their branches serve as major source of blood supply in head-neck region of human and are often encountered during numerous surgical and clinical interventions of neck.Methods: We dissected and examined both sides of neck in 49 well embalmed cadavers (98 sides). We recorded the following anatomical parameters of carotid arterial system-level of bifurcation, the relation between internal and external carotid arteries, branching pattern of anterior branches of external carotid artery, tortuosity in carotid arterial system, and relation of hypoglossal nerve with the carotid arteries.Results: In 56.16 % cases, the common carotid arterial bifurcation took place at the upper border of thyroid cartilage though high bifurcation was quite common (43.88%). The external carotid artery was located antero-medial to internal carotid artery in most cases (93.87%). Abnormal tortuosity of carotid arterial system was detected in 2.04% cases only. In 86.73% cases, the hypoglossal nerve crossed the internal and external carotid artery superior to carotid bifurcation above the level of hyoid bone while in 1 case it crossed immediately inferior to carotid bifurcation. In branching pattern, following variations were observed- linguo-facial trunk in 15.3% cases, thyro-lingual trunk in 5.1% cases, origin of superior thyroid artery from common carotid in 10.02% cases and origin of superior thyroid from internal carotid in one case (1.02%).Conclusions: The carotid arterial system has complex and variable anatomy in neck and this information should be kept in mind to avoid unwanted damage during surgical procedures of neck.

Separate Origin of the Left Internal and External Carotid Artery from the Aortic Arch Associated with Contralateral Intracranial Giant Aneurysm

1999 ◽  
Vol 5 (3) ◽  
pp. 261-263 ◽  
Author(s):  
G. Warschewske ◽  
G. Benndorf
Keyword(s):  
Carotid Artery ◽  
Aortic Arch ◽  
Internal Carotid ◽  
Similar Case ◽  
Giant Aneurysm ◽  
External Carotid Artery ◽  
External Carotid ◽  
The Common ◽  
The Right ◽  
Internal Carotid Arteries

One of the rare anomalies of the common carotid artery is the separate origin of the internal and external carotid artery. We present the case of a patient who was admitted to hospital for cerebral angiography to exclude an intracranial aneurysm. The DSA revealed a giant aneurysm of the right internal carotid artery and separate origins of external and internal carotid arteries from the aortic arch. To our best knowledge no similar case has previously been reported.

Doppler Angiography for the Non-Invasive Investigation of the Carotid Artery in the Neck

1979 ◽  
Author(s):  
Charles Warlow ◽  
Peter Fish
Keyword(s):  
Carotid Artery ◽  
Carotid Arteries ◽  
Internal Carotid ◽  
Doppler Imaging ◽  
Ultra Sound ◽  
External Carotid ◽  
Flow Profile ◽  
Non Invasive ◽  
Velocity Flow ◽  
Internal Carotid Arteries

The accuracy, and possible clinical application of non-invasive ultra sound imaging of the cervical carotid, artery in patients with cerebrovascular disease has been investigated by comparing a pulsed multi-channel directional Doppler imaging devise (“MAVIS” - GEC Medical) with conventional carotid angiography. Of 23 normal or minimally diseased internal carotid arteries only 4 appeared as stenosed on Doppler angiography, the other 19 were normal; of 14 stenosed arteries only 1 appeared normal on imaging,1 appeared occluded end 12 showed clear images of stenosis; all 6 occluded arteries appeared occluded on ultra sound imaging. It was difficult to obtain satisfactory images of the external carotid arteries in all cases. The additional facility to display a velocity flow profile at preselected points along the arterialimage should increase the usefulness of this technique, particularly when there is only minor atheromatous irregularity or ulceration, and such a device will be briefly disrussed.

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