Recanalization of Chronic Carotid Occlusion: Case Report and Review of the Literature

Vascular ◽  
2009 ◽  
Vol 17 (5) ◽  
pp. 281-283 ◽  
Author(s):  
Predrag Matic ◽  
Nenad Ilijevski ◽  
Sandra Radak ◽  
Jovo Kolar ◽  
Djordje Radak

Recanalization of an occluded extracranial internal carotid artery is a rare event. The mechanism remains unclear. We report a case of recanalized internal carotid artery in its extracranial portion. The patient underwent successful carotid endarterectomy.

2005 ◽  
Vol 105 (4) ◽  
pp. 407-409 ◽  
Author(s):  
U. Alpagut ◽  
M. Ugurlucan ◽  
E. Kafali ◽  
O. Ali Sayin ◽  
T. Demir ◽  
...  

2021 ◽  
Vol 9 (2) ◽  
pp. 271-276
Author(s):  
  A. K. Al Miraj ◽  
Md. Saleh Ahammed ◽  
Mohammad Ata Ullah ◽  
Muhammad Abduz Zaher ◽  
A. K. M. Latiful Bari ◽  
...  

2007 ◽  
Vol 60 (3-4) ◽  
pp. 187-190 ◽  
Author(s):  
Janko Pasternak ◽  
Vladan Popovic ◽  
Vladimir Vukobratov ◽  
Zoltan Horvat ◽  
Jovan Pfau ◽  
...  

Introduction. True aneurysms of the extracranial internal carotid artery are rare lesions. Surgical treatment is considered to be the best therapeutic option. However, the use of the intraluminal shunt remains controversial. Case report. We reported a case of a giant extracranial internal carotid artery aneurysm treated by reconstructive surgery. A 76-year-old woman was referred with a pulsatile mass inside her mouth, associated with dizziness and dysarthria. There was no history of cerebrovascular symptoms, neck pain, or cervical trauma. A magnetic resonance scan showed a 45 mm aneurysm of the internal carotid artery (ICA), and kinking of ICA. Angiography demonstrated a saccular ICA aneurysm, with a lengthening and tortuosity of the ICA. The aneurysm and the carotid artery branches were easily exposed through a standard anterior cervical incision. After resection of the aneurysm, a Javid shunt was inserted between the common and internal carotid arteries, and end-to-end repair of ICA was easily performed due to ICA redundancy. The aneurysm was of atherosclerotic origin. Four months after the operation, the patient showed a complete recovery from peripheral neurological deficit. Discussion. Our results show that surgical reconstruction is a satisfactory therapeutic choice in the management of extracranial carotid artery aneurysms in order to avoid rupture, thromboembolism and cerebrovascular insufficiency. To date, there has been little experience with endoluminal exclusion techniques and the long-term effectiveness is still uncertain. .


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