scholarly journals Single-session treatment of bilateral, tandem, internal carotid artery aneurysms with pipeline flex with shield technology

2021 ◽  
pp. 36-39
Author(s):  
Rares Cristian Filep ◽  
Lucian Marginean ◽  
Andrei Florin Bloj ◽  
Istvan Szikora
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Carotid Arteries ◽  
Internal Carotid ◽  
Anterior Cerebral Artery ◽  
Treatment Strategies ◽  
Single Session ◽  
First Case ◽  
Technological Improvements ◽  
Internal Carotid Arteries

The treatment of intracranial aneurysms (IA) has been transformed by the development of flow-diversion (FD) devices. Initially, these revolutionary devices were conceived for giant and fusiform aneurysms located on the internal carotid artery (ICA). Technological improvements have expanded their indications. Distal middle cerebral, anterior cerebral artery aneurysms, or even posterior fossa aneurysms can now benefit from this technology. One other category of aneurysms that can be treated is multiple IA’s. Multiple IA’s are encountered in approximately one-quarter of patients presenting with subarachnoid haemorrhage. Endovascular management of such cases is complex, requiring different devices and treatment strategies to secure all lesions. FD’s can be successfully employed to reconstruct vessels, which harbour more than one aneurysm, especially multiple ICA lesions. Multiple aneurysms located on both ICA’s are generically known as tandem aneurysms. We present the case of a patient with tandem aneurysms located on both intracranial internal carotid arteries that we treated simultaneously with the Pipeline Flex with Shield Technology in one single session. To the best of our knowledge, this is the first case reported in the literature so far.

scholarly journals Stenting in the Remnant of the Third Aortic Arch in a Case of Post-Irradiation Occluded Internal Carotid Artery

2011 ◽  
Vol 17 (1) ◽  
pp. 22-26
Author(s):  
H.-C. Chen ◽  
C.-J. Lin ◽  
F.-C. Chang ◽  
C.-B. Luo ◽  
Y.-J. Lai ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Carotid Arteries ◽  
Internal Carotid ◽  
Transluminal Angioplasty ◽  
Artery Occlusion ◽  
Carotid Artery Occlusion ◽  
External Carotid ◽  
First Case ◽  
Internal Carotid Arteries

Collateral networks between the external carotid artery and internal carotid arteries become crucial for cerebral perfusion after occlusion of internal carotid arteries. We report the first case of a patient who received percutaneous transluminal angioplasty and stenting in a collateral vessel between the external and internal carotid artery for treatment of radiation induced severe stenosis of the internal carotid artery in the context of a contralateral internal carotid artery occlusion.

Role of magnetic resonance imaging in evaluating sphenoid sinus and internal carotid artery

2009 ◽  
Vol 123 (12) ◽  
pp. 1331-1337 ◽  
Author(s):  
H G Hatipoglu ◽  
M A Cetin ◽  
A Selvi ◽  
E Yuksel
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Sphenoid Sinus ◽  
Carotid Arteries ◽  
Internal Carotid ◽  
Minimal Distance ◽  
Resonance Imaging ◽  
Internal Carotid Arteries

AbstractObjective:This study aimed to determine whether magnetic resonance imaging has a role in the evaluation of the sphenoid sinus and internal carotid artery. In addition, we aimed to establish reference measurements for the minimal distance between the internal carotid arteries.Method:The sphenoid sinuses and neighbouring internal carotid arteries of 90 patients were evaluated using sagittal T1-weighted and axial and coronal T2-weighted magnetic resonance images.Results:Sphenoid sinus pneumatisation was categorised as occipitosphenoidal (0 per cent), conchal (3.3 per cent), presellar (14.4 per cent) or sellar (82.2 per cent). The internal carotid artery protruded into the sphenoid sinus in 32.8 per cent, with a septum in 9.4 per cent. The incidence of sellar-type sphenoid sinus pneumatisation was higher in patients with protrusion of the internal carotid artery into the sphenoid sinus (p < 0.001). The incidence of presellar pneumatisation was higher in patients without internal carotid artery protrusion (p < 0.001). The minimal distance between the internal carotid arteries varied between 9.04 and 24.26 mm (mean, 15.94 mm).Conclusion:Magnetic resonance imaging can provide useful information about the sphenoid sinus and internal carotid artery, prior to endoscopic sphenoidotomy and trans-sphenoidal hypophysectomy.

Reconstitution of “totally” occluded internal carotid arteries

1979 ◽  
Vol 50 (6) ◽  
pp. 747-757 ◽  
Author(s):  
Roger W. Countee ◽  
Thurairasah Vijayanathan
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Carotid Arteries ◽  
Internal Carotid ◽  
Injection Technique ◽  
Complete Relief ◽  
Content Type ◽  
Internal Carotid Arteries ◽  
Angiographic Technique ◽  
Fine Print

✓ The authors describe their experiences with five patients with delayed transient ischemic symptoms homolateral to internal carotid artery (ICA) occlusions. In each instance, initial arteriograms were interpreted as showing irreversible occlusions of these arteries in the neck and microvascular bypass procedures were contemplated. However, after repeat arteriographic evaluations with a modified injection technique, certain angiographic features were identified that suggested the mechanism of the symptoms in these patients and that their ICA's could be reconstituted in the neck. This was successfully accomplished in each patient with complete relief of ischemic symptoms. The angiographic technique employed and the arterial flow patterns identified in these patients are discussed. The details of the operative technique are described. It is concluded that routine arteriographic techniques may be inadequate to identify the reversible carotid occlusion. This may account for some of the confusion which surrounds the surgery of these vessels as well as the failure of extracranial-intracranial bypass to relieve recurrent ischemic symptoms in these individuals.

scholarly journals Tortuous internal carotid artery presenting as a pharyngeal mass

2010 ◽  
Vol 124 (9) ◽  
pp. 1033-1036 ◽  
Author(s):  
S Hosokawa ◽  
H Mineta
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Surgical Procedures ◽  
Carotid Arteries ◽  
Internal Carotid ◽  
Factors Affecting ◽  
The Right ◽  
Internal Carotid Arteries ◽  
Fatal Haemorrhage ◽  
Radiological Examinations

AbstractBackground:Deformities of the carotid artery are rare. Tortuosity, kinking and coiling of the internal carotid artery may be observed with advancing age. A tortuous internal carotid artery may cause an abnormal sensation in the throat. In the early twentieth century, there were several reported cases of fatal haemorrhage during pharyngeal surgical procedures, because this condition went undetected.Method and results:We present two cases of tortuosity of the right internal carotid artery. Both women complained of abnormal throat sensations. Endoscopic studies and radiological examinations revealed tortuous right internal carotid arteries presenting as pulsatile masses. A literature review revealed that, in most reported cases, this deformity occurred on the right side. We believe that the defect and its right-sided predominance can be attributed to anatomical influences and factors affecting blood pressure.Conclusion:In most reported cases of tortuous internal carotid artery, the defect occurred on the right side and patients complained of an abnormal sensation in the throat. This information is useful in the diagnosis of this condition. It is important for otolaryngologists to recognise this anomaly, because fatal haemorrhage can occur in patients with this condition during surgical procedures on the pharynx.

scholarly journals Coiled Internal Carotid Arteries Associated with Bilateral Sequential Strokes

2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Gary G. Tse ◽  
Elna M. Masuda ◽  
Aaron M. McMurtray ◽  
Beau K. Nakamoto
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Carotid Arteries ◽  
Internal Carotid ◽  
Carotid Bulb ◽  
Internal Carotid Arteries ◽  
Cervical Internal Carotid Artery

The risk of stroke and management of coiling of the cervical internal carotid artery in the absence of an atherosclerotic carotid bulb lesion is unclear. We report a case of an otherwise healthy 39-year-old woman who developed bilateral sequential strokes associated with bilateral coiled internal carotid arteries. We discuss the risk of stroke and management of coiled carotid arteries as they relate to the patient presented.

scholarly journals Considerations on The Origin of The Ophthalmic Artery from The Internal Carotid Artery

2018 ◽  
Vol 24 (4) ◽  
pp. 179-183
Author(s):  
Vărgău Iulia ◽  
Bordei Petru ◽  
Ispas Viorel
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Ophthalmic Artery ◽  
Carotid Arteries ◽  
Internal Carotid ◽  
Morphological Features ◽  
Left Internal Carotid Artery ◽  
Ct Scanner ◽  
The Right ◽  
Internal Carotid Arteries

Abstract The study of CT angiographies performed on a CT scanner GE LightSpeed VCT16 Slice CT revealed some morphological features of the ophthalmic artery related to origin, morphometry and the internal carotid arteries in the vicinity of this artery. The diameter of the left internal carotid artery under the origin of the ophthalmic artery was between 4.0-5.8 mm and that of the right ophthalmic artery at the same level was between 4.1-5.3 mm. Under the origin of the ophthalmic artery, the internal carotid arteries were larger in diameter on the leftside in 80% of cases, with differences of 0.1-0.3 mm, and on the right side these differences were between 0.1-0.2 mm, 20% of cases. The diameter of the left internal carotid artery above the origin of the ophthalmic artery was 3.7-5.0 mm, and the origin of the right carotid artery at the same level was 3.8-5.0 mm.

Numerical simulation flow dynamics of an intracranial aneurysm

2021 ◽  
pp. 1-7
Author(s):  
Yang Zhang ◽  
Junjie Fan ◽  
Yunxia Xiu ◽  
Luyao Zhang ◽  
Guangxin Chen ◽  
...  
Keyword(s):  
Blood Flow ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Intracranial Aneurysm ◽  
Intracranial Aneurysms ◽  
Carotid Arteries ◽  
Internal Carotid ◽  
Flow Characteristics ◽  
High Particle ◽  
Internal Carotid Arteries

BACKGROUND: Computational fluid dynamics provides a new method for the study of the blood flow characteristics of the formation and development of intracranial aneurysms. OBJECTIVE: To compare blood flow characteristics between the healthy internal carotid artery and normal intracranial aneurysms. METHODS: The internal carotid arteries were simulated to obtain hemodynamic parameters in one patient. RESULTS: The internal carotid artery associated with aneurysm presents low wall shear stress, high oscillatory shear index, and high particle retention time compared with the normal internal carotid artery. CONCLUSIONS: There are differences in blood flow between the normal internal carotid artery and intracranial aneurysm. The vortex of the aneurysm will produce turbulence, indicating that it is unstable, which results in the growth and rupture of the aneurysm.

Calvarial hemangioma with blood supply from branches of the internal carotid artery

1971 ◽  
Vol 34 (6) ◽  
pp. 823-826 ◽  
Author(s):  
Naim K. Atallah ◽  
Sami I. Nassar
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Blood Supply ◽  
Carotid Arteries ◽  
Internal Carotid ◽  
Middle Meningeal Artery ◽  
Content Type ◽  
Internal Carotid Arteries ◽  
Meningeal Artery ◽  
Fine Print

✓ The sources of blood supply of calvarial hemangiomas are not well established angiographically but have been reported to derive from the middle meningeal artery. A case is presented in which both the external and the internal carotid arteries supplied the hemangioma. The protean arteriographic picture is explained in terms of the various tissues the tumor involves (galea, calvarium, or meninges).

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