scholarly journals Acute ischaemic stroke secondary to a mobile thrombus in the common carotid artery - case report

2015 ◽  
Vol 1 (2) ◽  
pp. 68-70 ◽  
Author(s):  
Zoltán Bajkó ◽  
Smaranda Maier ◽  
Silvia Rusu ◽  
Anca Moțățăianu
Keyword(s):  
Carotid Artery ◽  
Common Carotid Artery ◽  
Carotid Arteries ◽  
Treatment Strategies ◽  
Duplex Ultrasound ◽  
Neurological Status ◽  
Heavy Smoker ◽  
Left Middle Cerebral Artery ◽  
Ischemic Attack ◽  
The Right

Abstract A mobile thrombus in the carotid arteries is a very rare ultrasonographic finding and is usually diagnosed after a neurological emergency, such as a transient ischemic attack or cerebral infarction. We present the case of a 54-year-old man with vascular risk factors (a heavy smoker, untreated hypertension) who was admitted to the emergency unit with right sided hemiparesis and aphasia. A cerebral CT scan showed a left middle cerebral artery territory infarction. The duplex ultrasound examination revealed mild atherosclerotic changes in the right common and internal carotid arteries, right-sided complete subclavian steal phenomenon and a complicated hypoechoic atherosclerotic plaque in the left common carotid artery with a large mobile thrombus. Due to the high embolization risk, the patient was hospitalised and prescribed Aspirin together with low molecular weight Heparin. We recorded an improvement in the patient’s neurological status and the control duplex scan revealed disappearance of the thrombus. The presence of floating thrombus in a patient with clinical and imagistic evidence of stroke is a major therapheutic challenge for the neurologist. The treatment strategies are not standardized and must be individualized, however in our case parenteral anticoagulation proved to be successful.

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

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
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.

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.

Endovascular Treatment of Innominate Artery Occlusion With Simultaneous Vertebral and Carotid Artery Distal Protection

Neurosurgery ◽  
2010 ◽  
Vol 66 (4) ◽  
pp. E843-E844 ◽  
Author(s):  
Michael F. Stiefel ◽  
Min S. Park ◽  
Cameron G. McDougall ◽  
Felipe C. Albuquerque
Keyword(s):  
Carotid Artery ◽  
Carotid Arteries ◽  
Innominate Artery ◽  
Artery Occlusion ◽  
Left Middle Cerebral Artery ◽  
Arterial Access ◽  
Atherosclerotic Stenosis ◽  
Protection Devices ◽  
Distal Protection ◽  
The Right

Abstract OBJECTIVE Atherosclerotic stenosis or obstruction of the innominate artery is rare. Traditional surgical management is a technically demanding intervention with acceptable, but not negligible, rates of morbidity and mortality. Endovascular approaches to supraaortic lesions have been successful and are now the preferred treatment for stenoses of the brachiocephalic vessels. The use of cerebral protection devices in subclavian and innominate interventions is less established. CLINICAL PRESENTATION A 58-year-old woman had Takayasu giant cell arteritis with a history of a left middle cerebral artery stroke 3 weeks after undergoing placement of a left common carotid artery (CCA) stent and right innominate artery stent in 1998. She recently presented with worsening dizziness, ataxia, and right arm numbness and was referred to the endovascular neurosurgery service for management. INTERVENTION Initial angiography revealed left CCA stenosis and right innominate occlusion. The patient initially underwent left CCA angioplasty, planned as a staged procedure. This was followed by recanalization of the right innominate artery through an approach using both femoral arteries and the right brachial artery. This 3-site technique allowed simultaneous distal protection of both the right cervical vertebral and carotid arteries. CONCLUSION Reopening a chronically occluded innominate artery risks an embolic shower through both the right vertebral and carotid arteries. Using multiple sites of arterial access, distal protection devices can be deployed in both the cervical vertebral and carotid arteries to reduce the risk of stroke.

scholarly journals Bilateral non-bifurcating carotid arteries in a patient with recurrent cerebrovascular events

2021 ◽  
Vol 3 (1) ◽  
Author(s):  
Lina Palaiodimou ◽  
Georgia Papagiannopoulou ◽  
Aikaterini Theodorou ◽  
Eleni Bakola ◽  
Maria Chondrogianni ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Carotid Arteries ◽  
Underlying Mechanism ◽  
Unknown Etiology ◽  
Left Middle Cerebral Artery ◽  
Extensive Literature ◽  
Prevention Therapy ◽  
Cerebrovascular Events ◽  
Complete Work ◽  
Ischemic Attack

Abstract Introduction Among congenital anomalies of the carotid artery circulation, the presence of a non-bifurcating carotid artery is extremely rare. Relevant cases with unilateral non-bifurcating carotid artery have scarcely been described in the literature. After extensive literature review, only one case with asymptomatic bilateral non-bifurcating carotid arteries associated with persistent proatlantal artery was identified. Methods We present the case of a 40-year-old man with recurrent cerebrovascular events presenting non-bifurcating carotid arteries bilaterally. Results A 40-year-old man presented in the emergency department with a transient ischemic attack. Past medical history included prior ischemic stroke of unknown etiology in the distribution of the left middle cerebral artery, untreated hyperlipidemia and tobacco use. Complete work-up in order to identify the underlying mechanism of the patient’s recurrent cerebrovascular events was negative, except for the finding of non-bifurcating carotid arteries bilaterally, associated with an extensive intracranial anastomosing arterial network. Long-term antiplatelet therapy and statins were administered as secondary stroke prevention therapy. Discussion Previous reports suggest that non-bifurcating carotid arteries may be associated with atherosclerotic plaque formation in symptomatic cases due to shear stress, tortuosity or other local factors. However, in the absence of atherosclerosis, the pathogenic association of bilateral non-bifurcating carotid arteries with cerebrovascular events remains questionable, but may be considered when other stroke etiologies are excluded.

Pseudoaneurysm of the carotid artery with haemorrhage into the hypopharynx

1995 ◽  
Vol 109 (9) ◽  
pp. 889-891 ◽  
Author(s):  
Saichiro Tanaka ◽  
Yasuyuki Kimura ◽  
Mitsuru Furukawa
Keyword(s):  
Carotid Artery ◽  
Common Carotid Artery ◽  
Carotid Arteries ◽  
Radical Neck Dissection ◽  
Artery Aneurysm ◽  
Piriform Sinus ◽  
Carotid Artery Aneurysm ◽  
The Common ◽  
The Right ◽  
The Relationship

AbstractPseudoaneurysms of the extracranial carotid arteries are rarely seen following irradiation for cancers of the head and neck. We present a patient with a pseudoaneurysm of the common carotid artery following a radical neck dissection and irradiation for thyroid carcinoma 20 years earlier. Following oesophagoscopical examination, a pseudoaneurysm of the right common carotid artery ruptured into the piriform sinus. The common carotid artery was embolized with multiple coils and the bleeding was halted. The relationship between the carotid artery aneurysm and irradiation, and the treatment of carotid artery aneurysm, is discussed.

scholarly journals Carotid Artery Stenting Successfully Prevents Progressive Stroke Due to Mobile Plaque

2015 ◽  
Vol 7 (2) ◽  
pp. 121-126 ◽  
Author(s):  
Masahiro Oomura ◽  
Chikako Sato ◽  
Kentaro Yamada ◽  
Toshimasa Ikeda ◽  
Chise Anan ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Carotid Artery ◽  
Medical Therapy ◽  
Common Carotid Artery ◽  
Carotid Artery Stenting ◽  
Right Hemisphere ◽  
Duplex Ultrasound ◽  
Closed Cell ◽  
Maximal Medical Therapy ◽  
The Right

We report a case of progressive ischemic stroke due to a mobile plaque, in which carotid artery stenting successfully prevented further infarctions. A 78-year-old man developed acute multiple infarcts in the right hemisphere, and a duplex ultrasound showed a mobile plaque involving the bifurcation of the left common carotid artery. Maximal medical therapy failed to prevent further infarcts, and the number of infarcts increased with his neurological deterioration. Our present case suggests that the deployment of a closed-cell stent is effective to prevent the progression of the ischemic stroke due to the mobile plaque.

scholarly journals Simvastatin influence on carotid atherosclerotic disease regression

2012 ◽  
Vol 140 (3-4) ◽  
pp. 164-167
Author(s):  
Dragan Vasic ◽  
Oliver Radmili ◽  
Lazar Davidovic ◽  
Milica Vranes
Keyword(s):  
Carotid Artery ◽  
Common Carotid Artery ◽  
Carotid Arteries ◽  
Cerebrovascular Disorders ◽  
Intima Media Thickness ◽  
Lower Grade ◽  
Simvastatin Treatment ◽  
Asymptomatic Patients ◽  
Elevated Cholesterol ◽  
The Right

Introduction. The measurement of intima-media thickness (IMT) of carotid arteries has emerged as the method of choice for determining the anatomic extent of atherosclerosis and assessing cardiovascular progression. Statins are used in the primary and secondary prevention of cardiovascular and cerebrovascular disorders so as to reduce morbidity and mortality. Objective. To evaluate the effects of treatment with simvastatin in patients with elevated cholesterol levels and increased values of carotid arteries IMT. Methods. The study of 275 patients (155 male and 115 female, aged 37-79 years, mean 60.86 years) was performed from January 2008 - January 2010 at the Vascular and Endovascular Surgery Clinic of the Clinical Centre of Serbia. All patients were treated with simvastatin administered once a day for 6 months. Results. Simvastatin treatment resulted in a statistically signuficant decrease of the IMT thickness of the right common carotid artery. There was no statistically significant reduction in the IMT of the left common carotid artery as well as in the IMT of the right and left internal carotid arteries. Conclusion. Long-term simvastatin treatment results in the regression or slowing down atherosclerosis in symptomatic, as well as in asymptomatic patients with a lower grade of carotid stenosis (IMT below 2.5 mm).

Congenital Absence of the Common Carotid Artery With Common Origin of the Internal and External Carotid Arteries

2018 ◽  
Vol 42 (2) ◽  
pp. 78-81
Author(s):  
Maen Aboul Hosn ◽  
Amy Messner ◽  
William J. Sharp
Keyword(s):  
Carotid Artery ◽  
Common Carotid Artery ◽  
Carotid Arteries ◽  
Vascular Anomaly ◽  
Common Origin ◽  
Congenital Absence ◽  
External Carotid ◽  
Asymptomatic Patients ◽  
The Common ◽  
The Right

Congenital absence of the common carotid artery is a rare vascular anomaly that is usually discovered incidentally in otherwise asymptomatic patients and can potentially pose significant diagnostic and therapeutic challenges. Although it has been typically associated with separate origins of the internal and external carotid arteries, a common origin of both arteries is exceedingly rare and has been reported in 6 cases to date. We present the case of a 70-year-old female, who was referred for a carotid ultrasound after a carotid bruit was auscultated. Carotid duplex scan identified the congenital absence of the right common carotid artery with no significant internal carotid stenosis. This was confirmed by a computed tomography angiography scan of the neck, which showed the right internal and external carotid arteries sharing a common origin off the distal brachiocephalic artery.

scholarly journals Intrathoracic bifurcation of the right common carotid artery

2013 ◽  
Vol 2013 (jan09 1) ◽  
pp. bcr2012007554-bcr2012007554 ◽  
Author(s):  
C. K. Gomez ◽  
O. J. Arnuk
Keyword(s):  
Carotid Artery ◽  
Common Carotid Artery ◽  
The Right
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