scholarly journals Methods of carotid endarterectomy

2021 ◽  
Vol 26 (9) ◽  
pp. 4445
Author(s):  
A. N. Kazantsev ◽  
R. A. Vinogradov ◽  
K. P. Chernykh ◽  
M. O. Dzhanelidze ◽  
G. Sh. Bagdavadze ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Carotid Endarterectomy ◽  
External Carotid Artery ◽  
Patch Repair ◽  
External Carotid ◽  
Occipital Artery ◽  
The Novel ◽  
Pros And Cons

This literature review is devoted to various carotid endarterectomy (CE) methods that exist today in Russia. The pros and cons of conventional and eversion technique of the operation are given. It is indicated that the former is associated with higher long-term rate of restenosis, aneurysm and patch infection. The second is associated with higher prevalence of intraoperative internal carotid artery (ICA) thrombosis due to intimal detachment distal to endarterectomy area. The following CE methods for patients with prolonged ICA involvement are described: neo bifurcation formation, autoarterial reconstruction, ICA autotransplantation, plastic using an occipital artery flap. The methods of CE with carotid body saving have been demonstrated: 1. Swallow tail type patch repair proposed by R.I. Izhbuldin; 2. S-shaped arteriotomy proposed by K. A. Antsupov; 3. Two types of operations proposed by R. А. Vinogradov; 4. Сutting off the ICA with sections of common and external carotid artery proposed by A. N. Kazantsev; 5. Glomus-saving ICA autotransplantation in patients with prolonged atherosclerotic involvement. The role of ICA transposition over the hypoglossal nerve in eversion CE is presented. The glomus-saving CE with ICA transposition, called Chik-Chirik CE, is described. Conclusions are drawn on the need to demonstrate all CE types in the novel Russian guidelines for the management of patients with of head and neck arterial diseases.

Revisiting carotid endarterectomy: Neobulb technique using external carotid artery as a patch

Vascular ◽  
2021 ◽  
pp. 170853812110523
Author(s):  
Adalberto P Araujo ◽  
Cristiane F Araujo‐Gomes ◽  
Douglas Poschinger-Figueiredo ◽  
Carlos Felipe S Delgado ◽  
Monica R Mayall ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Carotid Endarterectomy ◽  
Carotid Stenosis ◽  
Carotid Bifurcation ◽  
External Carotid Artery ◽  
External Carotid ◽  
Long Term Follow Up ◽  
Distal Flow

Objectives This study describes an alternative carotid bifurcation endarterectomy technique in which the external carotid artery is used as a suture patch. Methods Charts of ten patients with atherosclerotic carotid stenosis that were treated using the neobulb technique between 2002 and 2019 were reviewed. Results No major surgical adverse event was observed in the postoperative assessments. No postoperative common or internal carotid stenosis was observed in the mid- or long-term follow-up. Conclusions The neobulb technique allows carotid endarterectomy closure without a synthetic or venous patch, using the external carotid artery as an autologous patch, while preserving distal flow into the external carotid artery branches.

Differential Effects of Carotid Artery Stenting Versus Carotid Endarterectomy on External Carotid Artery Patency

2007 ◽  
Vol 14 (2) ◽  
pp. 208-213 ◽  
Author(s):  
Edward Y. Woo ◽  
Jagajan Karmacharya ◽  
Omaida C. Velazquez ◽  
Jeffrey P. Carpenter ◽  
Christopher L. Skelly ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Carotid Endarterectomy ◽  
Carotid Artery Stenting ◽  
External Carotid Artery ◽  
External Carotid ◽  
Differential Effects

scholarly journals Embolization of Bleeding Pinna Arteriovenous Malformation after Ligation of the External Carotid Artery: A Therapeutic Challenge

2017 ◽  
Vol 01 (03) ◽  
pp. 184-189
Author(s):  
Rahul Kumar ◽  
Ankur Goyal ◽  
Ashu Bhalla ◽  
Sonia Sandip ◽  
Kapil Sikka
Keyword(s):  
Carotid Artery ◽  
Arteriovenous Malformation ◽  
Percutaneous Treatment ◽  
Endovascular Embolization ◽  
External Carotid Artery ◽  
External Carotid ◽  
Resonance Imaging ◽  
Percutaneous Embolization ◽  
History Of

AbstractA 25-year-old patient presented with bleeding of right pinna arteriovenous malformation (AVM). There was history of ipsilateral external carotid artery (ECA) ligation 10 years back. Subsequent investigations (ultrasound, magnetic resonance imaging, digital subtraction angiography) showed recruitment of complex collaterals from the ipsilateral subclavian artery and vertebral artery feeding the recurrent nidus. The patient underwent two sessions of endovascular embolization and one session of percutaneous embolization. We wish to highlight the feasibility of antegrade embolization in such cases via collaterals and role of direct percutaneous treatment.

Selective Occipital Artery Sonography for Dural Arteriovenous Fistulas

2012 ◽  
Vol 25 (2) ◽  
pp. 212-216
Author(s):  
K. Kono ◽  
M. Mori ◽  
Y. Wakugawa ◽  
M. Yasaka ◽  
Y. Okada ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Resistance Index ◽  
Duplex Sonography ◽  
External Carotid Artery ◽  
External Carotid ◽  
Occipital Artery ◽  
Arteriovenous Fistulas ◽  
Carotid Duplex ◽  
Dural Arteriovenous Fistulas ◽  
Artery Detection

Carotid duplex sonography is a useful method for evaluation of dural arteriovenous fistulas. The resistance index of the external carotid artery has been reported to correlate with the efficacy of treatment and recurrence or aggravation of dural arteriovenous fistulas. Herein, we describe a case of dural arteriovenous fistulas mainly supplied by the occipital artery and show that the resistance index of the occipital artery was more sensitive than that of the external carotid artery. To the best of our knowledge, this is the first report to describe the feasibility of occipital artery detection by carotid duplex sonography and clinical application of the resistance index of the occipital artery for dural arteriovenous fistulas.

scholarly journals Retinal Embolization and Cerebellar Asymptomatic Embolization after Carotid Stenting Using Distal Balloon Protection

2003 ◽  
Vol 9 (3) ◽  
pp. 311-314 ◽  
Author(s):  
S. Islam ◽  
H. Manabe ◽  
S. Hasegawa ◽  
A. Takemura ◽  
M. Nagahata ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Ophthalmic Artery ◽  
Carotid Stenting ◽  
External Carotid Artery ◽  
External Carotid ◽  
Occipital Artery ◽  
Cerebral Embolization ◽  
Intracranial Arteries ◽  
Balloon Protection ◽  
Meningeal Artery

We describe a rare case of having both symptomatic ipsilateral retinal embolization and asymptomatic cerebellar embolization occurring after carotid stenting with use of distal protect device. In this case, external carotid angiograms revealed accessory meningeal artery-ophthalmic artery and occipital artery-vertebral artery anastomoses. This case suggested that the protection for external carotid artery should be considered during carotid stenting to avoid retinal embolization and cerebellar or cerebral embolization in cases showing angiographical anastomoses between external carotid artery and ophthalmic artery or intracranial arteries.

Spontaneous opening of large occipital-vertebral artery anastomosis during embolization

1980 ◽  
Vol 53 (6) ◽  
pp. 849-850 ◽  
Author(s):  
Robert F. Spetzler ◽  
Michael Modic ◽  
Charles Bonstelle
Keyword(s):  
Carotid Artery ◽  
Vertebral Artery ◽  
Therapeutic Embolization ◽  
External Carotid Artery ◽  
External Carotid ◽  
Occipital Artery ◽  
Dural Arteriovenous Malformation ◽  
Artery Embolization ◽  
Content Type ◽  
Fluoroscopic Control

✓ A patient undergoing external carotid artery therapeutic embolization for obliteration of a dural arteriovenous malformation suddenly developed a large occipital artery to vertebral artery shunt. A devastating stroke was averted because the appearance of the shunt was observed by fluoroscopy, the embolization was stopped, and the shunt verified on a subsequent angiogram. The risk of external carotid artery embolization without constant fluoroscopic control is emphasized.

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