Role of Withania Somnifera (Ashwagandha) in Ischemic Stroke Rat Model Produced by Unilateral Internal Carotid Artery Ligation: A Histological Staining with 2,3,5 Triphenyltetrazolium Chloride and a Behavior Analysis

2017 ◽  
Vol 4 (3) ◽  
Author(s):  
Koirala S
Keyword(s):  
Ischemic Stroke ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Withania Somnifera ◽  
Internal Carotid ◽  
Triphenyltetrazolium Chloride ◽  
Artery Ligation ◽  
Carotid Artery Ligation ◽  
Histological Staining

Embolic stroke after carotid artery ligation during carotid body tumor resection

Vascular ◽  
2011 ◽  
Vol 21 (1) ◽  
pp. 23-26
Author(s):  
Hyangkyoung Kim ◽  
Yong-Pil Cho ◽  
Ki-Myung Moon ◽  
Tae-Won Kwon
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Carotid Body ◽  
Internal Carotid ◽  
Tumor Resection ◽  
Antiplatelet Agents ◽  
Carotid Body Tumor ◽  
Tumor Surgery ◽  
Artery Ligation ◽  
Carotid Artery Ligation

This report describes a case of a delayed cerebral embolic infarction, after internal carotid artery (ICA) ligation secondary to carotid body tumor resection. We describe a 34-year-old woman who underwent left ICA ligation during a large carotid body tumor surgery. Immediately after surgery, the patient was neurologically asymptomatic; however, she subsequently developed a cerebral embolic infarction nine hours postoperatively. After beginning antiplatelet therapy, all symptoms ultimately resolved, although over a gradual course. Since the ligation of the ICA can cause thromboembolic infarctions of the cerebrum, we contend that antiplatelet agents be administered to prevent and/or treat embolic strokes.

Bilateral Mycotic Aneurysms of the Intracavernous Carotid Artery

Neurosurgery ◽  
1985 ◽  
Vol 16 (2) ◽  
pp. 235-237 ◽  
Author(s):  
Kazem Abbassioun ◽  
Abbass Amirjamshidi ◽  
Hamid Rahmat
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Clinical Evidence ◽  
Internal Carotid ◽  
Laboratory Data ◽  
Artery Ligation ◽  
Carotid Artery Ligation ◽  
Mycotic Aneurysms ◽  
The Right ◽  
Progressive Enlargement

Abstract A rare case of bilateral intracavernous internal carotid artery aneurysms is presented. The clinical and laboratory data strongly suggested the mycotic nature of the aneurysms. Internal carotid artery ligation was performed because of clinical evidence of progressive enlargement of the right-sided aneurysm. The left-sided aneurysm was managed medically. It remained asymptomatic and, 14 months later, a control angiogram showed no significant change in its size and configuration.

Giant petrous carotid aneurysm: persistent epistaxis despite internal carotid artery ligation

2008 ◽  
Vol 122 (8) ◽  
Author(s):  
H Singh ◽  
J Thomas ◽  
W L E Hoe ◽  
D S Sethi
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Imaging Techniques ◽  
Balloon Occlusion ◽  
Petrous Apex ◽  
Carotid Angiography ◽  
Parent Vessel ◽  
Artery Ligation ◽  
Carotid Artery Ligation

AbstractObjectives:We report a rare case of giant petrous carotid aneurysm.Method:Case report and a review of the literature regarding treatment options for such aneurysms.Results:A 30-year-old man presented with epistaxis, headaches and visual disturbance. Definitive diagnosis was achieved by non-invasive imaging techniques, including magnetic resonance angiography and carotid angiography. Carotid angiography demonstrated a giant petrous carotid aneurysm effacing the petrous apex. The aneurysm was obliterated by internal carotid artery ligation, following successful tolerance of the balloon occlusion test. However, despite internal carotid artery ligation, this patient continued to have minor episodes of epistaxis.Conclusion:Some aneurysms are too large to be treated with endovascular occlusion techniques; in such cases, ligation of the parent vessel is indicated. However, our patient continued to experience persistent, mild epistaxis despite internal carotid artery ligation, as a result of the reperfusion phenomenon.

scholarly journals Recurrent Carotico-Cavernous Fistula after Internal Carotid Artery Ligation: A Case with Embolization of the Fistula via Contralateral Internal Carotid Artery Approach

2014 ◽  
Vol 20 (4) ◽  
pp. 482-486 ◽  
Author(s):  
Nguyen Vu Dang ◽  
Nguyen Thanh Hai ◽  
Tran Chi Cuong
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Medical Center ◽  
Angiographic Embolization ◽  
Artery Ligation ◽  
Percutaneous Embolization ◽  
Cavernous Fistula ◽  
Surgical Ligation ◽  
Carotid Artery Ligation

We are reporting a 51-year-old female patient having a history of direct carotid cavernous fistula (CCF) which was treated by internal carotid artery (ICA) ligation 17 year ago. She presented to Ho Chi Minh City University Medical Center with symptoms of recurrent CCF. The recurred CCF was supplied by multiple feeders coming from anterior, posterior communicating artery and the recanalized left ICA. Her CCF was not plausible for another surgical ligation and was referred for endovascular treatment. The fistula was eventually occluded by percutaneous embolization via the right ICA approach. Through this case, we would like to discuss about the treatment strategies of those having recurrent CCF with preexisted ICA ligation. In Vietnam, previously carotico-cavernous fistula was mainly treated with muscle occlusion, carotid artery ligation or combinations of these methods. There were reported good outcomes for treatment of CCF surgically. However, surgical repairs had carried, not only complication, but a risk of recurrence due to recanalization of the previously ligated ICA. Since the emergence of endovascular intervention, the treatment of direct CCF has evolved from surgical ligation to angiographic embolization using balloon or coils via artery route or venous access. This endovascular method currently is the treatment of choice for traumatic CCF due to its ability to preserve the carotid artery and flexibility in treatment strategy with various approaches to the fisutla.

What's New in Pediatric Surgery—1989

PEDIATRICS ◽  
1990 ◽  
Vol 85 (6) ◽  
pp. 1121-1124
Author(s):  
R. Peter Altman
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Extracorporeal Membrane Oxygenation ◽  
Internal Carotid ◽  
Artery Ligation ◽  
Membrane Oxygenation ◽  
Carotid Artery Ligation ◽  
Recent Developments ◽  
Initial Depression ◽  
Periodic Replacement

The recent developments in pediatric surgical research as well as new concepts and clinical applications in the specialty are emphasized in this report. There is no attempt to make this review all inclusive. Rather, it focuses on specific areas in which new data or techniques will influence future investigations or the management of patients. EXTRACORPOREAL MEMBRANE OXYGENATION No area has commanded more investigational effort than extracorporeal membrane oxygenation (ECMO). By oculopneumoplethysmography Foglia et al1 assessed the effects of right internal carotid artery ligation on cerebral perfusion in lambs during ECMO. Postnormoxic lambs had good right hemispheric perfusion after right internal carotid artery ligation, and posthypoxic animals showed marked initial depression of ipsilateral hemispheric perfusion which improved progressively and was comparable to the normoxic model at 20 hours. Foglia et al postulated a loss of autoregulation and/or intracranial edema, both of which were reversible. It is known that ECMO is associated with an early increase in inflammatory mediators. Simoni et al2 documented a second peak of complement activation and prostaglandin synthesis after 72 hours of high-flow ECMO. They reported increased levels of endotoxin, free radical activity, and tumor necrosis factor, all markers of systemic sepsis. Early weaning, meticulous technique, and periodic replacement of the ECMO circuit for the extended run are emphasized. Crombleholme and co-workers3 proposed using ECMO as a bridge to transplantation with reduced-size lung grafts. They demonstrated the technical feasibility of the procedure in immature swine recipients. The graft was ventilated preferentially and accepted the entire cardiac output. Ongoing studies by Stolar and Dillon4 demonstrated a biphasic prostanoid response in newborn lambs undergoing ECMO perfusion.

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