SURGICAL TREATMENT OF PATIENT WITH FIBROMUSCULAR DYSPLASIA OF THE THIRD TYPE AND GIANT ANEURYSM OF EXTRACRANIAL SEGMENT OF INTERNAL CAROTID ARTERY

Abstract Two cases are presented to describe surgical approaches to the high cervical internal carotid artery permitting surgical treatment of conditions such as aneurysms of the high carotid artery, fibromuscular dysplasia, and arteriosclerosis by endarterectomy or resection of a segment with the interposition of a graft.

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Incomplete Oculomotor Nerve Palsy Caused by Internal Carotid Artery Giant Aneurysm with Fibromuscular Dysplasia

Journal of the Korean Neurological Association ◽

10.17340/jkna.2019.2.23 ◽

2019 ◽

Vol 37 (2) ◽

pp. 216-217

Author(s):

Sang Hak Yi ◽

Hak Seung Lee

Keyword(s):

Carotid Artery ◽

Internal Carotid Artery ◽

Nerve Palsy ◽

Fibromuscular Dysplasia ◽

Internal Carotid ◽

Giant Aneurysm ◽

Oculomotor Nerve ◽

Oculomotor Nerve Palsy

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Surgical Treatment of Extracranial Distal Internal Carotid Artery Dissecting Aneurysm —Case Report—

Neurologia medico-chirurgica ◽

10.2176/nmc.32.21 ◽

1992 ◽

Vol 32 (1) ◽

pp. 21-27 ◽

Cited By ~ 7

Author(s):

Isao YAMAMOTO ◽

Akira IKEDA ◽

Masami SHIMODA ◽

Shinri ODA ◽

Yoshihiro MIYAZAKI ◽

...

Keyword(s):

Case Report ◽

Surgical Treatment ◽

Carotid Artery ◽

Internal Carotid Artery ◽

Internal Carotid ◽

Dissecting Aneurysm ◽

Distal Internal Carotid Artery

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Isolated oculomotor nerve palsy inspontaneous internal carotid artery dissection: case report

Arquivos de Neuro-Psiquiatria ◽

10.1590/s0004-282x2003000400027 ◽

2003 ◽

Vol 61 (3A) ◽

pp. 668-670 ◽

Cited By ~ 8

Author(s):

Cynthia Resende Campos ◽

Ayrton Roberto Massaro ◽

Milberto Scaff

Keyword(s):

Carotid Artery ◽

Internal Carotid Artery ◽

Nerve Palsy ◽

Internal Carotid ◽

Carotid Artery Dissection ◽

Oculomotor Nerve ◽

Oculomotor Nerve Palsy ◽

Artery Dissection ◽

Internal Carotid Artery Dissection ◽

The Third

Partial oculosympathetic palsy followed by ischemic manifestations in brain or retina are the main symptoms of extracranial internal carotid artery (ICA) dissection. Unusually, cranial nerves may be affected. Isolated oculomotor nerve palsy is found only rarely. CASE: We present a 50-year-old nondiabetic man who experienced acute onset of right occipital headache which spread to the right retro-orbital region. Five days later he noticed diplopia and right blurred vision sensation. Neurologic examination disclosed only impaired adduction and upward gaze of right eye, slight ipsilateral pupillary dilatation, without ptosis. Brain MRI was normal. Angiography showed right internal carotid artery dissection with forward occlusion to the base of the skull. Intravenous heparin followed by warfarin was prescribed. The headache and the oculomotor nerve deficit gradually resolved in the next three weeks. DISCUSSION: Isolated oculomotor nerve palsy is underrecognized as a clinical presentation of extracranial ICA dissection. If the angiographic evaluation is incomplete without careful study of extracranial arteries, misdiagnosis may lead to failure to initiate early treatment to prevent thromboembolic complications. For this reason we draw attention to the need for careful evaluation of cervical arteries in patients with oculomotor nerve palsy. Mechanical compression or stretching of the third nerve are possible mechanisms, but the direct impairment of the blood supply to the third nerve seems to be the most plausible explanation.

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Surgical treatment of internal carotid artery restenosis following eversion endarterectomy

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh1210577r ◽

2012 ◽

Vol 140 (9-10) ◽

pp. 577-582

Author(s):

Djordje Radak ◽

Slobodan Tanaskovic ◽

Miloje Vukotic ◽

Srdjan Babic ◽

Nikola Aleksic ◽

...

Keyword(s):

Surgical Treatment ◽

Carotid Artery ◽

Internal Carotid Artery ◽

Internal Carotid ◽

Surgical Techniques ◽

Minor Stroke ◽

Graft Occlusion ◽

Redo Surgery ◽

Eversion Endarterectomy ◽

Late Morbidity

Introduction. Carotid angioplasty and internal carotid artery stenting is the therapeutic method of choice in the treatment of carotid restenosis, but when it is not technically feasible (expressed tortuosity of supraaortic branches, calcifications, presence of pathological elongation of very long lesions) a redo surgery is indicated. Objective. The aim of our study was to examine the benefits and risks of redo surgery in patients with symptomatic and asymptomatic significant internal carotid artery restenosis and its impact on early and late morbidity and mortality. Methods. The study included 45 patients who were surgically treated for a hemodynamically significant internal carotid artery restenosis from January 2000 to December 2009. Surgical techniques included redo endarterectomy with direct suture, redo anderectomy with a patch plastic and resection with Dacron tubular graft interposition. The patients were followed for postoperative neurological ischemic events (transient ischemic attack (TIA), stroke), local surgical complications and lethal outcome after one month, six months, one year and after two years). Results. In the early postoperative period (up to 30 days) there were no lethal outcomes. TIA was diagnosed in four patients (8.8%), minor stroke in one patient (2.2%) and one patient (2.2%) also had cranial nerve injury. After two years two patients died (4.4%) due to fatal myocardial infarction, three patients (6.5%) had ipsilateral stroke and one patient developed graft occlusion (2%). Conclusion. In the case of symptomatic and asymptomatic carotid restenosis that cannot be treated by carotid percutaneous angioplasty, redo surgical treatment is therapeutic option with an acceptable rate of early and late postoperative complications.

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Simultaneous surgical treatment of ruptured abdominal aortic aneurysm and acute carotide occlusive disease

Acta chirurgica iugoslavica ◽

10.2298/aci0901101m ◽

2009 ◽

Vol 56 (1) ◽

pp. 101-103

Author(s):

Z.V. Maksimovic ◽

N. Jakovljevic ◽

S. Putnik ◽

D. Jadranin ◽

D. Markovic ◽

...

Keyword(s):

Abdominal Aortic Aneurysm ◽

Surgical Treatment ◽

Aortic Aneurysm ◽

Carotid Artery ◽

Internal Carotid Artery ◽

Internal Carotid ◽

Good Condition ◽

Ruptured Abdominal Aortic Aneurysm ◽

Acute Thrombosis ◽

Abdominal Aortic

Combined rupture of abdominal aortic aneurysm and acute thrombosis of internal carotid artery is extremely rare but fatal combination resulting in high mortality rate. Presented case, shows successfully performed simultaneous surgery of ruptured abdominal aortic aneurysm and acute cerebrovascular insult caused by thrombosis of carotid artery in 81 year-old male. Post operative course was uneventfull. At 24 months follow up patient was in good condition, with full neurological recovery. Simultaneous surgical treatment of acute occlusive carotid disease and ruptured abdominal aortic aneurysm (RAAA) seems to be the only life saving procedure for this rare, but very complicated condition. To our knowledge, this is the first reported successful simultaneous surgical treatment of RAAA and acute thrombosis of internal carotid artery.

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Surgical treatment of tandem stenosis of the internal carotid artery

Patologiya krovoobrashcheniya i kardiokhirurgiya ◽

10.21688/1681-3472-2021-3-20-26 ◽

2021 ◽

Vol 25 (3) ◽

pp. 20

Author(s):

A. D. Pryamikov ◽

A. B. Mironkov ◽

A. I. Khripun

Keyword(s):

Surgical Treatment ◽

Carotid Artery ◽

Internal Carotid Artery ◽

World Literature ◽

Large Scale ◽

Internal Carotid ◽

Review Article ◽

Conflicts Of Interests ◽

Tandem Stenosis ◽

Instrumental Methods

This review article presents an analysis of the world literature devoted to treating patients with tandem stenosis of the intra- and extra-cranial parts of the internal carotid artery. We indicate the frequency of tandem lesion occurrence and describe the applied instrumental methods of its diagnosis. The review demonstrates the results of tandem stenosis surgical treatment in both early and more modern studies and describes the possibilities of endovascular correction of extra- and intra-cranial stenosis of the internal carotid artery. The authors emphasise the lack of large-scale studies — including randomised studies — regarding combined, tandem carotid stenosis and the need for further studies.Received 30 March 2021. Revised 8 May 2021. Accepted 11 May 2021.Funding: The study did not have sponsorship.Conflict of interest: The authors declare no conflicts of interests.Contribution of the authors: The authors contributed equally to this article.

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