Hemorrhage from a previously undemonstrated intracranial aneurysm as a late complication of carotid artery ligation

1977 ◽  
Vol 46 (5) ◽  
pp. 654-658 ◽  
Author(s):  
William M. Klemme

✓ A case is reported in which the patient underwent ligation of the common carotid artery as treatment for a ruptured intracranial aneurysm. Nine years later a second subarachnoid hemorrhage occurred from a new or previously undemonstrated intracranial aneurysm. Recannulation of the ligated carotid artery was demonstrated by arteriography. Similar cases are cited from the literature.

1970 ◽  
Vol 33 (2) ◽  
pp. 184-190 ◽  
Author(s):  
John S. Tytus ◽  
Arthur A. Ward

✓ Two patients with giant aneurysms of the internal carotid artery showed progressive visual field deficits, and one, endocrine dysfunction. Neither patient had ever had symptoms suggesting subarachnoid hemorrhage. Both patients benefitted from common carotid ligation. Comparable reports are reviewed, and the application of a previously reported technique for monitoring gradual occlusion of the common carotid artery is emphasized.


1981 ◽  
Vol 55 (4) ◽  
pp. 527-531 ◽  
Author(s):  
Eugenio Pozzati ◽  
Leo Fagioli ◽  
Franco Servadei ◽  
Giulio Gaist

✓ The effects of common carotid artery ligation on five giant aneurysms (greater than 2.5 cm in diameter) of the internal carotid artery were studied by computerized tomography (CT). Four aneurysms thrombosed completely and one partially. The CT image of the thrombosed part in giant aneurysms is protean, varying from hyperdensity in the immediate postoperative period to isodensity and finally to inhomogeneously increased or decreased density, the attenuation values depending on the different stages of organization of the thrombus and on calcium deposition.


1981 ◽  
Vol 55 (4) ◽  
pp. 625-628 ◽  
Author(s):  
Tomokatsu Hori ◽  
Hideo Terao ◽  
Tsuneyoshi Eguchi ◽  
Masao Matsutani

✓ A case of a huge, rapidly enlarging, intraoral carotid aneurysm, presenting with dysphagia and dyspnea, was successfully treated by a combination of extracranial-intracranial bypass and internal carotid artery ligation. This case is unusual in that a tendency to bleed was observed for about 3 weeks after the operation. This is thought to be related to a consumption coagulopathy associated with the aneurysm.


1997 ◽  
Vol 111 (12) ◽  
pp. 1192-1194
Author(s):  
P. El Jassar ◽  
D. Moraitis ◽  
M. Spencer ◽  
G. Sissions

AbstractThe surgical management of intractable epistaxis by external carotid artery ligation may become complicated if there is a high bifurcation of the common carotid artery. Occlusion of the bleeding vessels by catheter embolization is described in a patient in whom exploratio n of the neck had failed to locate the external carotid artery.


1981 ◽  
Vol 54 (5) ◽  
pp. 588-595 ◽  
Author(s):  
William F. Bingham

✓ Ocular pneumoplethysmography (OPG), a semiautomated form of suction ophthalmodynamometry, was used to evaluate and follow 15 patients who underwent carotid endarterectomy and two patients in whom gradual carotid artery occlusion was performed for inoperable intracranial aneurysm. Postoperative corrected ophthalmic arterial pressures (COAP's) on the operated side in the carotid endarterectomy patients averaged 12.5 mm Hg higher than before surgery, the standard deviation being 4.9 mm Hg for clinically stable patients. There was no significant change in COAP on the contralateral side. Several problems were encountered in closing down carotid clamps, the most potentially serious being a precipitous fall in COAP with the final adjustment. The current uses of OPG and similar techniques are reviewed, and potential neurosurgical applications are discussed.


1984 ◽  
Vol 61 (1) ◽  
pp. 37-43 ◽  
Author(s):  
Gerard M. Debrun ◽  
Vassilis Varsos ◽  
Theodore M. Liszczak ◽  
Kenneth R. Davis ◽  
Roberto S. Heros ◽  
...  

✓ Experimental cervical carotid aneurysms in dogs are obliterated with isobutyl-cyanoacrylate (IBCA) injected under direct vision into the aneurysm. Reflux of IBCA into the artery was prevented by inflating either a latex or a Silastic balloon in the carotid artery at the level of the neck of the aneurysm. This balloon was introduced through a catheter advanced into the common carotid artery by femoral catheterization. The Silastic balloon was found to be much more effective than the latex balloon in preventing spillage of IBCA into the lumen.


1977 ◽  
Vol 46 (6) ◽  
pp. 832-834 ◽  
Author(s):  
Robert J. Morelli ◽  
Frederick Laubscher

✓ Angiography demonstrated an aneurysm of the left anterior cerebral artery in a 4-month-old baby who was admitted for subarachnoid hemorrhage. A surgical cure with long-term follow-up course was achieved. Clinical and pathogenetic aspects are presented. The rarity of such lesions in childhood and their successful surgical treatment are discussed briefly.


1972 ◽  
Vol 36 (5) ◽  
pp. 552-559 ◽  
Author(s):  
Charas Suwanwela ◽  
Nitaya Suwanwela ◽  
Srisakul Charuchinda ◽  
Chaturaporn Hongsaprabhas

✓ Six patients with intracranial mycotic aneurysms of extravascular origin are reported. Four had aneurysms of the intracavernous portion of the internal carotid artery associated with thrombophlebitis of the cavernous sinus, and two had aneurysms of the cerebral arteries associated with meningitis. An aneurysm of this type may rupture, producing subarachnoid hemorrhage, or it may become thrombosed and decrease in size or spontaneously disappear. In some patients it may persist and develop calcification in the wall.


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