scholarly journals Successful carotid endarterectomy in a patient with an aberrant branch from the common carotid artery

2013 ◽  
Vol 95 (2) ◽  
pp. e17-e19 ◽  
Author(s):  
YC Chan ◽  
WH Wong ◽  
SW Cheng
Keyword(s):  
Carotid Artery ◽  
Carotid Endarterectomy ◽  
Common Carotid Artery ◽  
Incidental Finding ◽  
Uneventful Recovery ◽  
First Case ◽  
The Common ◽  
The Right

We report a patient who had an 80% asymptomatic stenosis in the distal right common carotid artery with an incidental finding of an aberrant branch arising from the right common carotid artery. He underwent an elective right carotid endarterectomy with an uneventful recovery. This is the first case in the literature of a successful endarterectomy in a patient with a common carotid anomaly and it emphasises the importance of careful dissection for unexpected anatomy.

Endarterectomy for a symptomatic carotid web

Vascular ◽  
2017 ◽  
Vol 25 (5) ◽  
pp. 553-556 ◽  
Author(s):  
John Phair ◽  
Eric B Trestman ◽  
Chetra Yean ◽  
Evan C Lipsitz
Keyword(s):  
Risk Factors ◽  
Carotid Artery ◽  
Carotid Endarterectomy ◽  
Common Carotid Artery ◽  
Filling Defect ◽  
Acute Onset ◽  
Uneventful Recovery ◽  
Symptomatic Carotid ◽  
Unclear Etiology ◽  
The Right

Background We report a symptomatic carotid web successfully treated with carotid endarterectomy. A healthy 43-year-old woman presented with acute-onset left-sided weakness. Carotid web was evident on computed tomography angiography as a focal filling defect in the right common carotid artery. This right common carotid artery web extended into the ICA created an eddy resulting in turbulent flow. Subsequent acute embolus formation led to embolization and acute stroke. Method Review of the literature was performed using Medline Plus and PubMed databases. Result The patient underwent carotid endarterectomy with primary closure. Procedure was well tolerated and there was an uneventful recovery. Conclusion Arterial webs are a rare arteriopathy and a usual arrangement of fibromuscular intralumenal in-growth with unclear etiology. It is however, an important potential etiology of stroke in patients without traditional atherosclerotic risk factors. Carotid web and atypical carotid fibromuscular dysplasia should be considered in young, otherwise healthy patients presenting with stroke and without the typical risk factors for atherosclerotic carotid disease and stroke.

scholarly journals Eversion carotid endarterectomy with nerve-sparing component in a case of high location of common carotid artery bifurcation

2021 ◽  
Vol 25 (3) ◽  
pp. 94
Author(s):  
I. V. Makarov ◽  
A. S. Borisenkov ◽  
I. A. Migunov
Keyword(s):  
Carotid Artery ◽  
Carotid Endarterectomy ◽  
Common Carotid Artery ◽  
Preoperative Evaluation ◽  
Cranial Nerves ◽  
Hospital Medicine ◽  
Nerve Sparing ◽  
Left Internal Carotid Artery ◽  
Brachiocephalic Trunk ◽  
The Right

<p>We performed carotid endarterectomy on a patient with 75% stenosis of the left internal carotid artery (ICA), 70% stenosis of the left common carotid artery (CCA), 60% stenosis of the right ICA and 55% stenosis of the right CCA after a transient ischaemic attack on the premises of the surgical unit of Russian Railways Hospital–Medicine (Samara), which is the clinical site for the care of surgical diseases at Samara State Medical University. During the preoperative evaluation and physical examination, we determined that the chance of high CCA bifurcation was high because the patient had a brachymorphic physique and his neck was short and broad. In fact, during the surgical exploration of the carotid triangle area, the CCA bifurcation was identified 7 ± 0.5 cm higher than the shield-like cartilage rim; thus the CCA bifurcation area crossed the stems of the glossopharyngeal (IX), vagus (X) and hypoglossal (XII) nerves, which precluded classic carotid endarterectomy. We then decided to perform carotid endarterectomy, using the eversion method and transposing the ICA above the rami of the cranial nerves. Through this method, we minimised traction and nerve stem trauma during the process of reconstructing brachiocephalic trunk arteries, prevented morbidities involving the cranial nerves during postsurgical period, accelerated the patient’s recovery and improved the patient’s quality of life. With further patient monitoring during the early and late postoperative periods, no abnormalities of peripheral innervation occurred.</p><p>Received 26 March 2021. Revised 6 May 2021. Accepted 11 May 2021.</p><p><strong>Funding:</strong> The study did not have sponsorship.</p><p><strong>Conflict of interest:</strong> The authors declare no conflicts of interests.</p><p><strong>Contribution of the authors:</strong> The authors contributed equally to this article.</p>

Clinical case of a patient with occlusive thrombosis of the right common carotid artery

2021 ◽  
Vol 27 (1) ◽  
pp. 79-86
Author(s):  
Anna S. Zotova ◽  
Tatyana V. Davydova ◽  
Anna M. Snigireva
Keyword(s):  
Carotid Artery ◽  
Common Carotid Artery ◽  
Asymptomatic Patient ◽  
Duplex Ultrasound ◽  
Carotid Bifurcation ◽  
Ultrasound Scanning ◽  
Severe Atherosclerosis ◽  
The Common ◽  
The Right ◽  
Color Duplex Ultrasound

The paper presents a case of a patient with floating thrombosis in the right common carotid artery and occlusion of the carotid bifurcation of the right common carotid artery against the background of severe atherosclerosis of the common carotid artery with 70% stenosis. Thrombosis was identified using color duplex ultrasound scanning in an asymptomatic patient. During hospitalization, thrombosis was complicated by a cerebral infarction of the right middle cerebral artery, apparently of embolic origin.

scholarly journals Variations in the anatomical relationship between the common carotid artery and the internal jugular vein: An ultrasonographic study

2015 ◽  
pp. 54-59 ◽  
Author(s):  
Mauricio Umaña Perea ◽  
Alberto Federico García ◽  
José Luis Castillo García ◽  
Luis Alfonso Bustamante Cristancho ◽  
Juan Sebastián Martínez Collazos
Keyword(s):  
Multivariate Analysis ◽  
Carotid Artery ◽  
Internal Jugular Vein ◽  
Common Carotid Artery ◽  
Jugular Vein ◽  
Patients Âgés ◽  
Anterior Position ◽  
Anatomical Relationship ◽  
The Common ◽  
The Right

Introduction: The internal jugular vein locates anterior or anterolateral to the common carotid artery in two-thirds of the subjects studied by ultrasound when the head is in a rotated position. Aim: To identify variables associated with the anterior location of the internal jugular vein. Methods: Ultrasound examinations were performed with the patients in the supine position, with the head rotated to the opposite side. The proximal third of the neck was visualized transversely with a 7.5-mHz transducer. The relationship between the vessels was described in accordance with the proportion of the artery overlapped by the vein. Univariate comparisons and a multivariate analysis of potential variables that may affect the anatomic relationships were performed. Results: Seventy-eight patients were included, 44 of whom were men. The patients' ages ranged from 17 to 90 years (median 64.0, interquartile range 41-73). The right and left sides were studied 75 and 73 times, respectively. The vein was located lateral to the artery in 24.3% (95%CI= 17.4-32.2) of the studies, anterolateral in 33.8% (95%CI= 26.2-41.4) and anterior in 41.9% (95%CI= 33.9-49.8). The multivariate analysis identified age group (OR= 3.7, 95% CI 2.1-6.4) and, less significantly, the left side (OR= 1.7, 95%CI= 0.8-3.5) and male gender (OR= 1.2, 95%CI= 0.6-2.7) as variables associated with the anterior position of the vein. Conclusión: The anterior position of the internal jugular vein relative to the common carotid artery increases gradually with age. Additionally, left-sided localization and male sex further increased the probability of an anterior position.

scholarly journals A rare anomalous origin of right vertebral artery with double branch: First case report

2017 ◽  
Vol 24 (2) ◽  
pp. 225-228 ◽  
Author(s):  
Ya-dong Liu ◽  
Zhi-qiang Li ◽  
Jing-jing Fu ◽  
Ya-jun E
Keyword(s):  
Case Report ◽  
Carotid Artery ◽  
Vertebral Artery ◽  
Subclavian Artery ◽  
Common Carotid Artery ◽  
Incidental Findings ◽  
Aberrant Right Subclavian Artery ◽  
First Case ◽  
The Right ◽  
Double Origin

Vertebral artery origin anomalies are typically incidental findings during angiography. We present an extremely rare variant in which the right vertebral artery has a double origin from the right subclavian artery and right common carotid artery in association with an aberrant right subclavian artery, which has never been reported before.

scholarly journals XXII. The development of the branchial arterial arches in birds, with special reference to the origin of the subclavians and carotids

1887 ◽  
Vol 42 (251-257) ◽  
pp. 429-432 ◽  
Keyword(s):  
Carotid Artery ◽  
Special Reference ◽  
Aortic Arch ◽  
Aortic Root ◽  
Common Carotid Artery ◽  
Innominate Artery ◽  
Adult Bird ◽  
Basal Portion ◽  
The Common ◽  
The Right

According to the theories of Rathke, which are universally accepted at the present day, the subclavian artery is supposed to take its origin from the aortic root or fourth embryonic branchial arterial arch. In the adult bird the subclavian on each side is found springing from, the extremity of an innominate artery along with the common carotid. It is presumed that the right subclavian has been, by a shortening of the aortic arch, carried forwards until it meets and fuses with the base of the common carotid artery; and the left subclavian is regarded as representing by its basal portion the fourth left arch or left primitive aorta.

scholarly journals Septic Bleeding of the Common Carotid Artery Following Total Thyroidectomy: An Atypical Complication

2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
T. Jamaan ◽  
J. Raedecke ◽  
C. Kayser ◽  
K. D. Rueckauer ◽  
O. Thomusch
Keyword(s):  
Carotid Artery ◽  
Total Thyroidectomy ◽  
Common Carotid Artery ◽  
Hyoid Bone ◽  
Thyroglossal Duct Cyst ◽  
Bone Pathology ◽  
Duct Cyst ◽  
Thyroglossal Duct ◽  
The Common ◽  
The Right

Septic rupture of the common carotid artery following total thyroidectomy may rapidly lead to exsanguination. We present a case report of a 16-year-old girl, diagnosed with a questionable thyroglossal duct cyst. Following the initial operative intervention with local excision of the cyst including resection of the medial part of the hyoid bone, pathology revealed papillary carcinoma. Thus secondary total thyroidectomy with locoregional lymphadenectomy was performed. One week later, a wound infection developed, necessitating lavage and drainage. On the 8th postoperative day, a dramatic bleeding of the right common carotid artery occurred. To our knowledge, this is the first reported case in the literature with a septic bleeding of the common carotid artery following total thyroidectomy after one week.

scholarly journals Application of Fenestrated Aneurysm Clip for Incomplete Clamping of the Common Carotid Artery During Carotid Endarterectomy

2009 ◽  
Vol 49 (5) ◽  
pp. 225-227 ◽  
Author(s):  
Masakazu KOBAYASHI ◽  
Kuniaki OGASAWARA ◽  
Kenji YOSHIDA ◽  
Yasunari OTAWARA ◽  
Akira OGAWA
Keyword(s):  
Carotid Artery ◽  
Carotid Endarterectomy ◽  
Common Carotid Artery ◽  
Aneurysm Clip ◽  
The Common

scholarly journals Carotid Beta Stiffness Association with Thyroid Function

2021 ◽  
Vol 10 (3) ◽  
pp. 420
Author(s):  
Alessandro P. Delitala ◽  
Angelo Scuteri ◽  
Edoardo Fiorillo ◽  
Valeria Orrù ◽  
Edward G. Lakatta ◽  
...  
Keyword(s):  
Heart Rate ◽  
Carotid Artery ◽  
Arterial Stiffness ◽  
Common Carotid Artery ◽  
Local Level ◽  
Elastic Parameter ◽  
Stiffness Index ◽  
Cross Sectional ◽  
The Common ◽  
The Right

Background: Thyroid hormone modulation of cardiovascular function has been associated with cardiovascular disease. Recent evidence suggests that free thyroxine (FT4) levels are associated with an increase in systemic arterial stiffness, but little is known about the effects of FT4 at the local level of the common carotid artery. β-stiffness index is a local elastic parameter usually determined by carotid ultrasound imaging. Methods: We conducted a cross-sectional analysis in the ProgeNIA cohort, including 4846 subjects across a broad age range. For the purpose of this study, we excluded subjects with increased thyrotropin (TSH) levels and those treated with levothyroxine or thyrostatic. We assessed β stiffness, strain, wall–lumen ratio, carotid cross-sectional area (CSA), and stress and flow in the right common carotid artery. We tested whether FT4, heart rate, and their interactions were associated with carotid parameters. Results: FT4 was positively and independently associated with β stiffness index (β = 0.026, p = 0.041), and had a negative association with strain (β = −0.025, p = 0.009). After adding heart rate and the interaction between FT4 and heart rate to the model, FT4 was still associated with the β stiffness index (β = 0.186, p = 0.06), heart rate was positively associated with the stiffness index (β = 0.389, p < 0.001) as well as their interaction (β = 0.271, p = 0.007). Conclusion: This study suggests that higher FT4 levels increase arterial stiffness at the common carotid level, consistent with a detrimental effect on elastic arteries. The effect of FT4 is likely to be primarily attributable to its effect on heart rate.

scholarly journals Navigation of a 6-French guiding sheath into the common carotid artery using a tri-axial catheter system in transbrachial carotid artery stenting

2018 ◽  
Vol 25 (1) ◽  
pp. 38-43 ◽  
Author(s):  
Shigeyuki Sakamoto ◽  
Toshinori Matsushige ◽  
Masaru Abiko ◽  
Koji Shimonaga ◽  
Masahiro Hosogai ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Carotid Stenosis ◽  
Common Carotid Artery ◽  
Carotid Artery Stenting ◽  
Catheter System ◽  
The Common ◽  
The Right ◽  
Distal Filter ◽  
Balloon Protection ◽  
Guiding Catheter

Background and purpose Placement of a large-bore guiding sheath or catheter into the common carotid artery (CCA) is crucial in transbrachial carotid artery stenting (CAS). Herein, we describe technical tips for the navigation of a 6-French guiding sheath into the CCA using a tri-axial catheter system in transbrachial CAS. Materials and methods A total of 27 patients underwent transbrachial CAS. For the right side, a 6-French straight guiding sheath was navigated directly into the CCA using a tri-axial catheter system, with a 4-French Simmons catheter placed through a 6-French straight guiding catheter. For the left side, a 6-French Simmons guiding sheath was navigated into the CCA using a tri-axial catheter system, with a 4-French Simmons catheter placed through a 6-French Simmons guiding catheter. After the placement of a 6-French guiding sheath into the CCA, CAS was performed under distal filter or balloon protection. Results Fifteen patients had a right carotid stenosis and 12 patients had a left carotid stenosis. The 6-French guiding sheath was safely placed with ease and provided adequate stabilization for CAS. All procedures were successfully performed without any complications. Conclusion The use of a tri-axial catheter system for the navigation of a 6-French guiding sheath into the CCA appears safe and efficient, allowing transbrachial CAS, with 6-French guiding sheath stabilization, to be performed without any complication.

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