scholarly journals Idiopathic Lingual Artery Aneurysm: CT Findings and Endovascular Therapy

2010 ◽  
Vol 16 (1) ◽  
pp. 103-106 ◽  
Author(s):  
R.S. Brindle ◽  
P.M. Fernandez ◽  
R.J. Sattenberg ◽  
M.B. Flynn ◽  
J.O. Heidenreich
Keyword(s):  
Carotid Artery ◽  
Endovascular Therapy ◽  
Treatment Options ◽  
Artery Aneurysm ◽  
External Carotid Artery ◽  
Diagnostic Evaluation ◽  
External Carotid ◽  
Lingual Artery ◽  
Ct Findings ◽  
Artery Branch

We describe a 65-year-old woman with an asymptomatic idiopathic lingual artery aneurysm which is suspected to be congenital. We review the literature on external carotid artery branch aneurysms, diagnostic evaluation and discuss treatment options for the various types and the specific chosen in the case presented.

External Carotid Artery-to-Middle Cerebral Artery Bypass Using a Saphenous Vein Graft With 3-Vessel Anastomosis for the Treatment of a Large, Ruptured Middle Cerebral Artery Aneurysm: 2-Dimensional Operative Video

2021 ◽  
Author(s):  
Kristine Ravina ◽  
Joshua Bakhsheshian ◽  
Joseph N Carey ◽  
Jonathan J Russin
Keyword(s):  
Carotid Artery ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Saphenous Vein ◽  
Saphenous Vein Graft ◽  
Artery Bypass ◽  
Artery Aneurysm ◽  
External Carotid Artery ◽  
External Carotid ◽  
Bifurcation Aneurysm

Abstract Cerebral revascularization is the treatment of choice for select complex intracranial aneurysms unamenable to traditional approaches.1 Complex middle cerebral artery (MCA) bifurcation aneurysms can include the origins of 1 or both M2 branches and may benefit from a revascularization strategy.2,3 A novel 3-vessel anastomosis technique combining side-to-side and end-to-side anastomoses, allowing for bihemispheric anterior cerebral artery revascularization, was recently reported.4  This 2-dimensional operative video presents the case of a 73-yr-old woman who presented as a Hunt-Hess grade 4 subarachnoid hemorrhage due to the rupture of a large right MCA bifurcation aneurysm. The aneurysm incorporated the origins of the frontal and temporal M2 branches and was deemed unfavorable for endovascular treatment. A strategy using a high-flow bypass from the external carotid artery to the MCA with a saphenous vein (SV) graft was planned to revascularize both M2 branches simultaneously, followed by clip-trapping of the aneurysm. Intraoperatively, the back walls of both M2 segments distal to the aneurysm were connected with a standard running suture, and the SV graft was then attached to the side-to-side construct in an end-to-side fashion. Catheter angiograms on postoperative days 1 and 6 demonstrated sustained patency of the anastomosis and good filling through the bypass. The patient's clinical course was complicated by vasospasm-related right MCA territory strokes, resulting in left-sided weakness, which significantly improved upon 3-mo follow-up with no new ischemia.  The patient consented for inclusion in a prospective Institutional Review Board (IRB)-approved database from which this IRB-approved retrospective report was created.

scholarly journals Unilateral variations in the branching pattern of right external carotid artery- a case report

2012 ◽  
Vol 01 (03) ◽  
pp. 136-140
Author(s):  
P Savithri
Keyword(s):  
Case Report ◽  
Carotid Artery ◽  
Lymph Nodes ◽  
Histopathological Examination ◽  
External Carotid Artery ◽  
Facial Artery ◽  
External Carotid ◽  
Lingual Artery ◽  
Branching Pattern ◽  
Muscular Artery

AbstractA case report of anomalous origin and branching pattern of right external carotid artery found during the dissection of human cadavers is reported here. Knowledge of anatomical variations of external carotid artery is especially important in head & neck surgeries. This knowledge is also important for radiologists in the image interpretation. In the case reported here, the right external carotid artery gave direct origin of one of dorsal lingual artery, two stylomastoid arteries, muscular artery and lymph nodal artery along with its normal eight branches. Generally the dorsal lingual arteries are two arising from lingual artery. Contrary to that, in this case the dorsal lingual arteries were found arising one from front of external carotid artery and other from lingual artery, and both these arteries communicated at 4mm beyond their origin. The two stylomastoid arteries arising directly from the front of external carotid artery 4mm above the facial artery were found arising with a gap of 2mm distance from one another. Muscular artery arose directly from the posterior aspect of external carotid artery opposite the anomalous dorsal lingual artery and descended downwards and forwards in its course giving small twigs to surrounding muscles . Lymph nodal artery arising just beside the muscular artery opposite to facial artery passed downwards and laterally and divided into two small twigs to supply a pair of lymph nodes. These lymph nodes are deep cervical nodes measuring about 5x5 mm in size hard in consistency on histopathological examination, found to be nonmalignant.

Creation of a Middle Communicating Artery With External Carotid Artery-Radial Artery Graft-M2 Middle Cerebral Artery Interpositional Bypass and M2 Middle Cerebral Artery-M2 Middle Cerebral Artery Reimplantation for a Recurrent Middle Cerebral Artery Aneurysm: 2-Dimensional Operative Video

2020 ◽  
Vol 20 (1) ◽  
pp. E44-E45
Author(s):  
Fabio A Frisoli ◽  
Joshua S Catapano ◽  
Dimitri Benner ◽  
Michael T Lawton
Keyword(s):  
Carotid Artery ◽  
Middle Cerebral Artery ◽  
Radial Artery ◽  
Cerebral Artery ◽  
Artery Aneurysm ◽  
External Carotid Artery ◽  
External Carotid ◽  
Radial Artery Graft ◽  
Lenticulostriate Arteries ◽  
Artery Graft

Abstract Dolichoectatic aneurysms of the middle cerebral artery (MCA) bifurcation pose unique treatment challenges.1 One treatment consists of an extracranial-intracranial (EC-IC) interpositional bypass and double-reimplantation of the M2 divisions.2-8 We present a variation of this construct in which an M2 MCA-M2 MCA end-to-side reimplantation was performed, creating a middle communicating artery (MCoA). The patient, a 61-yr-old woman, had previously undergone a “picket fence” clip reconstruction of an unruptured, giant left MCA bifurcation aneurysm in 2014.9 After the patient provided informed written consent for treatment, a 5-yr surveillance angiogram revealed substantial aneurysm regrowth opposite the clips.  A pterional craniotomy was performed, and the aneurysm was exposed through a transsylvian approach. Proximal external carotid artery-radial artery graft (ECA-RAG) anastomosis was performed to arterialize the graft. The distal RAG was anastomosed end-to-side to the temporal division of the M2 segment, and the vessel proximal to the bypass inflow was transected from the aneurysm. We repurposed this “dead-end” as an MCoA by end-to-side reimplantation onto a branch of the frontal M2 trunk. The superior trunk was then clip occluded at its origin at the aneurysm. The aneurysm could not be proximally occluded due to lenticulostriate arteries arising from the back of the bifurcation.  Postoperative angiography confirmed patency of the MCoA and its donor bypasses. The aneurysm no longer filled, and the lenticulostriate arteries were preserved. The patient was discharged on postoperative day 3 and made an excellent recovery (3-mo modified Rankin Scale [mRS] = 1). The MCoA is a novel construct that redistributed flow from the interpositional graft into the superior trunk, without the need for additional ischemia time while working with the inferior trunk. Used with permission from Barrow Neurological Institute.

Regional Cancer Chemotherapy of Head and Neck Tumors by Continuous Intraarterial Infusion

1964 ◽  
Vol 50 (4) ◽  
pp. 267-308 ◽  
Author(s):  
Sergio Di Pietro ◽  
Leandro Gennari
Keyword(s):  
Carotid Artery ◽  
Anticancer Drugs ◽  
Malignant Tumors ◽  
Superficial Temporal Artery ◽  
External Carotid Artery ◽  
Facial Artery ◽  
External Carotid ◽  
Lingual Artery ◽  
Arterial Infusion ◽  
Vascular Area

The results of treatment through continuous arterial infusion of anticancer drugs in 40 patients with malignant tumors, localized in the vascular area of the external carotid artery, are reported. Most of carcinomas belonged to the oral and pharingeal cavities. The external carotid artery was catheterized directely in 5 cases and indirectely in 28 cases (mostly through the superficial temporal artery); in 6 cases the lingual artery and in 3 cases the facial artery were used. The drugs and total doses employed were as follows: amethopterin (30–150 mg in 10 cases), triethylen-thiophosphoramide (60–300 mg in 9 cases), cyclophosphamide (800–6000 mg in 8 cases), daunomycin (40–280 mg in 8 cases), mitomycin C (20–40 mg in 2 cases), nitrogen mustard (10 mg in 2 cases), busulfan (35 mg in 1 case). The arterial infusion lasted from a minimum of 4 hours to a maximum of 14 days with an average of 6–12 days. In 19 cases (46,5 %) an objective improvement with significant but incomplete regression of the tumor was obtained. The improvement lasted from a minimum of 1 month to a maximum of 8 months. In this study, amethopterin was the most active compound, but only slightly more active than cyclophosphamide and daunomycin. Six patients died because of complications secondary to therapy. The indications and the technique of arterial infusion with anticancer drugs in tumors of the vascular area of the external carotid artery are discussed, as well as the complications related with this type of treatment. The literature about this subject is also reviewed.

Carotid Duplex Study of the Left External Carotid Artery Transposition for the Repair of the Left Internal Carotid Artery Aneurysm

2019 ◽  
Vol 43 (3) ◽  
pp. 134-138
Author(s):  
Cassey Y. Noh
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Artery Aneurysm ◽  
External Carotid Artery ◽  
External Carotid ◽  
Carotid Artery Aneurysm ◽  
Computed Tomography Images ◽  
Carotid Duplex ◽  
Internal Carotid Artery Aneurysm

This case study reports a carotid duplex study of a rare case of the extracranial internal carotid artery aneurysm, and an unconventional procedure for the repair, transposition of the external carotid artery into the internal carotid artery. The pre-operative and post-operative computed tomography images confirm these findings.

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