External carotid artery reconstruction performed using an autologous internal carotid artery patch

2001 ◽  
Vol 94 (6) ◽  
pp. 996-998
Author(s):  
Michael B. Pritz
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
External Carotid Artery ◽  
External Carotid ◽  
Arterial Graft ◽  
Content Type ◽  
Carotid Artery Reconstruction ◽  
Patch Graft ◽  
Artery Reconstruction

✓ The reconstruction of the external carotid artery (ECA) and obliteration of an occluded stump or atretic internal carotid artery (ICA) are described. In this method the occluded ICA is used as an autologous patch graft. Satisfactory ICA obliteration and expanded, smooth common carotid artery—ECA contour were obtained in three patients. Advantages of this procedure include ICA obliteration and precise patch placement by using an ideal, autologous, arterial graft.

Internal carotid artery stump angioplasty for the treatment of cerebrovascular occlusive disease

1986 ◽  
Vol 65 (4) ◽  
pp. 461-464 ◽  
Author(s):  
Edward C. Benzel ◽  
Kevin M. Sittig ◽  
Mansour Mirfakhraee
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
External Carotid Artery ◽  
Occlusive Disease ◽  
External Carotid ◽  
Content Type ◽  
Cerebrovascular Occlusive Disease ◽  
Intracranial Vasculature ◽  
Fine Print

✓ Nineteen patients underwent a total of 21 stump angioplasty procedures for an occluded internal carotid artery. Indications for surgery included the preparation of the donor vessel for a subsequent extracranial-intracranial bypass procedure, the occurrence of emboli to the intracranial vasculature from the external carotid artery circulation, and the association with symptomatic occlusive disease of the external carotid artery accompanying occlusion of the ipsilateral internal carotid artery. The technique utilized and the results obtained in these 19 patients are presented. In select patients, the removal of an occluded internal carotid artery stump via a stump angioplasty is beneficial in preventing the catastrophic sequela of embolic cerebrovascular disease.

Preliminary observation on the hemodynamics of the internal carotid artery following bilateral external carotid ligation in the monkey

1971 ◽  
Vol 35 (2) ◽  
pp. 192-196 ◽  
Author(s):  
Jacob Abraham ◽  
Gita Shetty ◽  
Jacob Chandy
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
External Carotid Artery ◽  
Preliminary Observation ◽  
External Carotid ◽  
Artery Blood Flow ◽  
Macaca Radiata ◽  
Content Type ◽  
Consistent Increase

✓ Ligation of the external carotid artery induced an increased flow in the internal carotid artery in the monkey (Macaca radiata). Bilateral external carotid artery ligations were then done in patients with ischemia resulting from “stroke”; studies of internal carotid artery blood flow showed a consistent increase in flow.

The anomaly of a non-bifurcating cervical carotid artery

1990 ◽  
Vol 72 (1) ◽  
pp. 130-132 ◽  
Author(s):  
Tadashi Morimoto ◽  
Kazumi Nitta ◽  
Kiyoshi Kazekawa ◽  
Keizo Hashizume
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
External Carotid Artery ◽  
Developmental Anomaly ◽  
External Carotid ◽  
Content Type ◽  
Fine Print

✓ A case of a rare developmental anomaly of the cervical carotid artery is reported. In this patient the non-bifurcating carotid artery gave origin to all of the branches normally supplied by the external carotid artery and thereafter continued as the internal carotid artery. Embryological events responsible for this anomaly are briefly discussed.

Classification and treatment of spontaneous carotid-cavernous sinus fistulas

1985 ◽  
Vol 62 (2) ◽  
pp. 248-256 ◽  
Author(s):  
Daniel L. Barrow ◽  
Robert H. Spector ◽  
Ira F. Braun ◽  
Jeffrey A. Landman ◽  
Suzie C. Tindall ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Cavernous Sinus ◽  
Internal Carotid ◽  
Clinical Manifestations ◽  
External Carotid Artery ◽  
External Carotid ◽  
Content Type ◽  
Type D ◽  
Type C

✓ An anatomical-angiographic classification for carotid-cavernous sinus fistulas is introduced and a series of 14 patients with spontaneous carotid-cavernous sinus fistulas is reviewed to illustrate the usefulness of such a classification for patient evaluation and treatment. Fistulas are divided into four types: Type A are direct high-flow shunts between the internal carotid artery and the cavernous sinus; Type B are dural shunts between meningeal branches of the internal carotid artery and the cavernous sinus; Type C are dural shunts between meningeal branches of the external carotid artery and the cavernous sinus; and Type D are dural shunts between meningeal branches of both the internal and external carotid arteries and the cavernous sinus. The anatomy, clinical manifestations, angiographic evaluation, indications for therapy, and therapeutic options for spontaneous carotid-cavernous sinus fistulas are discussed.

Retromandibular Fossa Approach to the High Cervical Internal Carotid Artery: An Anatomic Study

2008 ◽  
Vol 62 (suppl_5) ◽  
pp. ONS363-ONS370 ◽  
Author(s):  
Yusuf Izci ◽  
Roham Moftakhar ◽  
Mark Pyle ◽  
Mustafa K. Basşkaya
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Average Length ◽  
Cranial Nerves ◽  
External Carotid Artery ◽  
External Carotid ◽  
Digastric Muscle ◽  
High Cervical ◽  
Cervical Internal Carotid Artery

Abstract Objective: Access to the high cervical internal carotid artery (ICA) is technically challenging for the treatment of lesions in and around this region. The aims of this study were to analyze the efficacy of approaching the high cervical ICA through the retromandibular fossa and to compare preauricular and postauricular incisions. In addition, the relevant neural and vascular structures of this region are demonstrated in cadaveric dissections. Methods: The retromandibular fossa approach was performed in four arterial and venous latex-injected cadaveric heads and necks (eight sides) via preauricular and postauricular incisions. This approach included three steps: 1) sternocleidomastoid muscle dissection; 2) transparotid dissection; and 3) removal of the styloid apparatus and opening of the retromandibular fossa to expose the cervical ICA with the internal jugular vein along with Cranial Nerves X, XI, and XII. Results: The posterior belly of the digastric muscle and the styloid muscles were the main obstacles to reaching the high cervical ICA. The high cervical ICA was successfully exposed through the retromandibular fossa in all specimens. In all specimens, the cervical ICA exhibited an S-shaped curve in the retromandibular fossa. The external carotid artery was located more superficially than the ICA in all specimens. The average length of the ICA in the retromandibular fossa was 6.8 cm. Conclusion: The entire cervical ICA can be exposed via the retromandibular fossa approach without neural and vascular injury by use of meticulous dissection and good anatomic knowledge. Mandibulotomy is not necessary for adequate visualization of the high cervical ICA.

Dynamic Computed Tomography Angiography in Suspected Brain Death: A Noninvasive Biomarker

2014 ◽  
Vol 65 (4) ◽  
pp. 352-359 ◽  
Author(s):  
Santanu Chakraborty ◽  
Reem A. Adas
Keyword(s):  
Blood Flow ◽  
Cerebral Blood Flow ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Brain Death ◽  
Internal Carotid ◽  
External Carotid Artery ◽  
External Carotid ◽  
Ancillary Test ◽  
Organ Harvesting

Purpose Neurologic determination of death or brain death is primarily a clinical diagnosis. This must respect all guarantees required by law and should be determined early to avoid unnecessary treatment and allow organ harvesting for transplantation. Ancillary testing is used in situations in which clinical assessment is impossible or confounded by other factors. Our purpose is to determine the utility of dynamic computed tomographic angiography (dCTA) as an ancillary test for diagnosis of brain death. Materials and Methods We retrospectively reviewed 13 consecutive patients with suspected brain death in the intensive care unit who had dCTA. Contrast appearance timings recorded from the dCTA data were compared to findings from 15 controls selected from patients who presented with symptoms of acute stroke but showed no stroke in follow-up imaging. Results The dCTA allows us to reliably assess cerebral blood flow and to record time of individual cerebral vessels opacification. It also helps us to assess the intracranial flow qualitatively against the flow in extracranial vessels as a reference. We compared the time difference between enhancement of the external and internal carotid arteries and branches. In all patients who were brain dead, internal carotid artery enhancement was delayed, which occurred after external carotid artery branches were opacified. Conclusion In patients with suspected brain death, dCTA reliably demonstrated the lack of cerebral blood flow, with extracranial circulation as an internal reference. Our initial results suggest that inversion of time of contrast appearance between internal carotid artery and external carotid artery branches at the skull base could predict a lack of distal intracranial flow.

Flow-diverter Stents for Internal Carotid Artery Reconstruction Following Spontaneous Dissection: A Technical Report

2018 ◽  
Vol 29 (4) ◽  
pp. 707-715 ◽  
Author(s):  
Christopher Alan Hilditch ◽  
Waleed Brinjikji ◽  
Joanna Schaafsma ◽  
Chun On Anderson Tsang ◽  
Patrick Nicholson ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Flow Diverter ◽  
Technical Report ◽  
Carotid Artery Reconstruction ◽  
Artery Reconstruction ◽  
Spontaneous Dissection
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