scholarly journals CLINICAL IMPLICATIONS OF VARIABLE ORIGIN OF EXTERNAL CAROTID ARTERY BRANCHES AND HIGH LEVEL BIFURCATION OF COMMON CAROTID ARTERY

2017 ◽  
Vol 5 (2.3) ◽  
pp. 3958-3963
Author(s):  
Esakkiammal. N ◽  
◽  
Renu Chauhan ◽  
Rakhee Sharma ◽  
◽  
...  
Keyword(s):  
Carotid Artery ◽  
Common Carotid Artery ◽  
External Carotid Artery ◽  
External Carotid ◽  
Clinical Implications ◽  
High Level ◽  
Variable Origin

Common carotid artery ligation at the proximal side before rupture in patients with ligation or occlusion of the external carotid artery at risk of carotid blowout syndrome

2019 ◽  
Vol 49 (9) ◽  
pp. 839-844
Author(s):  
Fumihiko Matsumoto ◽  
Satoko Matsumura ◽  
Taisuke Mori ◽  
Ayaka Mori ◽  
Go Omura ◽  
...  
Keyword(s):  
High Risk ◽  
Carotid Artery ◽  
Common Carotid Artery ◽  
External Carotid Artery ◽  
External Carotid ◽  
Artery Ligation ◽  
Bleeding Point ◽  
Carotid Blowout Syndrome ◽  
Proximal Side ◽  
Carotid Artery Ligation

CCA ligation at the proximal side of the bleeding point under local anesthesia and before rupture is a treatment option for patients at high risk of CBS.

Cerebral Protection with a Temporary Ascending Aorta–External Carotid Artery Bypass during Common Carotid Artery Revascularization

2018 ◽  
Vol 46 ◽  
pp. 368.e13-368.e17
Author(s):  
Murat Ugurlucan ◽  
Yilmaz Onal ◽  
Didem Melis Oztas ◽  
Cagla Canbay ◽  
Ibrahim Demir ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Common Carotid Artery ◽  
Artery Bypass ◽  
External Carotid Artery ◽  
Ascending Aorta ◽  
Cerebral Protection ◽  
External Carotid

scholarly journals Novel triple coaxial system to navigate 9 French balloon guiding catheter into common carotid artery

2020 ◽  
Vol 26 (6) ◽  
pp. 719-724
Author(s):  
Ryuta Yasuda ◽  
Naoki Toma ◽  
Yume Suzuki ◽  
Yoichi Miura ◽  
Masato Shiba ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Common Carotid Artery ◽  
Carotid Artery Stenosis ◽  
Carotid Artery Stenting ◽  
External Carotid Artery ◽  
External Carotid ◽  
Type Iii ◽  
Catheter System ◽  
Bovine Aortic Arch ◽  
Guiding Catheter

Background It is often hard to navigate a 9 French (F) balloon guiding catheter in patients with type III or bovine aortic arch. Also, a common carotid artery stenosis is challenging, because a guidewire cannot be advanced distally. We developed the combination of a 4F Simmons-type catheter and a 6F distal access catheter as a coaxial inner catheter to navigate a 9F balloon guiding catheter to overcome these difficulties. Materials and methods Medical record at our institution was retrospectively reviewed and carotid artery stenting cases in which the 4F Simmons-6F distal access catheter system was employed as a coaxial catheter to navigate a 9F balloon guiding catheter were identified. To construct this system, a 4F 145 cm SY3 (Hanako Medical, Saitama, Japan) and a 6F 118 cm Cerulean DD6 (Medikit Co. Ltd., Tokyo, Japan) were usually employed. A rotating hemostatic valve should be as short as possible and was attached to only a 9F balloon guiding catheter. The length of a 0.035-in. guidewire needed to be 180 cm or longer. Results During the study period, 106 carotid artery stenting cases were identified. Of these, this system was employed in 29 cases that included 5 cases with a steno-occlusive lesion at common carotid artery/external carotid artery, 10 with type III or bovine arch, and 11 harboring both. In all the cases, a 9F balloon guiding catheter was successfully navigated. Conclusion The 4F Simmons-6F distal access catheter system was useful in navigating a 9F balloon guiding catheter in patients with a common carotid artery stenosis, an external carotid artery occlusion, and an in-stent restenosis, especially when they also harbored type III or bovine aortic arch.

Congenital Absence of the Left Common Carotid Artery in a Patient with a Right-Sided Aortic Arch: A Case Study

2016 ◽  
Vol 40 (4) ◽  
pp. 177-181 ◽  
Author(s):  
Dianne Masri
Keyword(s):  
Carotid Artery ◽  
Common Carotid Artery ◽  
Internal Carotid ◽  
Incidental Finding ◽  
External Carotid Artery ◽  
External Carotid ◽  
Focal Neurological Deficit ◽  
Arterial Lesion ◽  
Work Up

Absence of a common carotid artery (CCA) is an extremely rare congenital anomaly. The first documented case was in 1787 during a postmortem examination. The incidence of agenesis of the CCA is unknown with fewer than 25 cases reported in literature. Agenesis of the CCA is commonly associated with separate origins of the internal carotid artery (ICA) and external carotid artery (ECA) and is usually an incidental finding on imaging studies and can pass unnoticed or misdiagnosed. Such an anomaly is typically asymptomatic unless associated with an accompanying arterial lesion that results in a work-up for symptomatic intracerebral pathology, a focal neurological deficit, or during autopsy. Although absence of the CCA is usually asymptomatic, transient ischemic attacks, hemiplegia, and intracranial hemorrhage may occur.

scholarly journals Bilateral anatomical variation in branching pattern of external carotid artery in a male cadaver - a case report

2015 ◽  
Vol 32 (02) ◽  
pp. 108-110
Author(s):  
L. Khanal ◽  
P. Baral ◽  
P. Yadav ◽  
A. Pandeya ◽  
S. Shah ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Common Carotid Artery ◽  
Anatomical Variation ◽  
Neck Region ◽  
External Carotid Artery ◽  
Facial Artery ◽  
External Carotid ◽  
Superior Thyroid Artery ◽  
Branching Pattern ◽  
Male Cadaver

AbstractDevelopmental anomalies in the origin and branching pattern of the external carotid artery are not common. The level of the bifurcation of the common carotid artery and also the variations in the origin/branching pattern of the external carotid artery are well known and documented. During a routine dissection of middle aged male cadaver in department of Anatomy in BP Koirala Institute of Health Sciences (BPKIHS) The clinically-relevant variations to be noted were the high origin and anomalous course of the facial artery, superior thyroid artery arising as a branch of Common Carotid artery, high origin of ascending pharyngeal artery, posterior auricular artery and direct glandular branches to the Submandibular gland. Such anatomical variations of external carotid artery are important for surgeons in surgeries of head and neck region and also for radiologists in the image interpretation of the face and neck region.

scholarly journals VARIATION IN ORIGIN OF SUPERIOR THYROID ARTERY AND ITS CLINICAL RELEVANCE: A CASE REPORT

2020 ◽  
pp. 1-2
Author(s):  
Chetan Sahni ◽  
Shivshanker S
Keyword(s):  
Carotid Artery ◽  
Common Carotid Artery ◽  
External Carotid Artery ◽  
External Carotid ◽  
Superior Thyroid Artery ◽  
Branching Pattern ◽  
Arterial Variations ◽  
Male Cadaver ◽  
Iatrogenic Damage ◽  
Unusual Origin

Thyroid surgeries are most common neck surgeries; hence thorough knowledge of the variations in blood supply of this gland to the surgeons is very important to prevent any alarming hemorrhage or iatrogenic damage. We found a variation in origin of superior thyroid artery on right side during routine dissection on an adult male cadaver in the Department of Anatomy, A.I.I.M.S, NewDelhi. Left superior thyroid artery was normal. Right side, superior thyroid artery was arising from common carotid artery instead of external carotid artery, just proximal to the bifurcation of common carotid artery. This variant branching pattern of superior thyroid artery is very rare. The inferior thyroid arteries did not show any unusual origin. Knowledge of such arterial variations related to the thyroid gland is immensely helpful to the surgeons to avoid damage of the vital organs in this region.

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