Emergency rescue and vascular reconstruction of carotid artery rupture:a report of 6 cases

2013 ◽  
Vol 32 (7) ◽  
pp. 738-741
Author(s):  
Min-hui ZHU ◽  
Hong-liang ZHENG ◽  
Shi-cai CHEN ◽  
Dong-hui CHEN
2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Yuqing Niu ◽  
Massimiliano Galluzzi ◽  
Ming Fu ◽  
Jinhua Hu ◽  
Huimin Xia

AbstractOne of the main challenges of tissue-engineered vascular prostheses is restenosis due to intimal hyperplasia. The aim of this study is to develop a material for scaffolds able to support cell growth while tolerating physiological conditions and maintaining the patency of carotid artery model. Tubular hyaluronic acid (HA)-functionalized collagen nanofibrous composite scaffolds were prepared by sequential electrospinning method. The tubular composite scaffold has well-controlled biophysical and biochemical signals, providing a good matrix for the adhesion and proliferation of vascular endothelial cells (ECs), but resisting to platelets adhesion when exposed to blood. Carotid artery replacement experiment from 6-week rabbits showed that the HA/collagen nanofibrous composite scaffold grafts with endothelialization on the luminal surface could maintain vascular patency. At retrieval, the composite scaffold maintained good structural integrity and had comparable mechanical strength as the native artery. This study indicating that electrospun scaffolds combined with cells may become an alternative to prosthetic grafts for vascular reconstruction. Graphical Abstract


2020 ◽  
Vol 2 (2) ◽  
Author(s):  
Li Fan ◽  
Xiaohua Tang ◽  
Yuqin Cui

Objective: Objective To explore the first aid and nursing of patients with anastomotic fistula after radical resection of esophagus carcinoma complicated with major carotid hemorrhage.Methods: The clinical data of anastomotic fistula complicated with carotid artery rupture and massive hemorrhage after radical resection of typical esophageal carcinoma were analyzed and summarized.Results:Through the close cooperation of medical care, the rescue was successful.Conclusion:Earlier prevention observation, raising first aid consciousness and actively cooperating with doctors can improve the success rate of rescue.


2008 ◽  
Vol 121 (7) ◽  
pp. 671-672 ◽  
Author(s):  
Jin-qiu SONG ◽  
Jian ZHANG ◽  
Ming-di YIN ◽  
Shao-yin SHAN ◽  
Bin WU ◽  
...  

1979 ◽  
Vol 87 (5) ◽  
pp. 624-627 ◽  
Author(s):  
Matthew J. Lambert ◽  
Michael E. Johns ◽  
Robert Mentzer ◽  
G. Slaughter Fitz-Hugh

A painful, pulsatile neck mass with associated fever should suggest the presence of a mycotic carotid artery aneurysm. Diagnosis can be confirmed from angiograms. Broad spectrum antibiotics are indicated, and an operation should be performed promptly. The lack of tissue planes uninvolved by infection will almost always prevent vascular reconstruction. Carotid artery ligation with excision of the aneurysms is recommended.


Neurosurgery ◽  
2002 ◽  
Vol 51 (4) ◽  
pp. 1083-1088 ◽  
Author(s):  
Shunsuke Terasaka ◽  
Koji Itamoto ◽  
Kiyohiro Houkin

Abstract OBJECTIVE We discuss a detailed surgical technique, its indications, and potential pitfalls in its use. METHODS A surgical procedure combining Kawase's anterior petrosectomy and external carotid artery-to-posterior cerebral artery high-flow bypass was performed for the treatment of a patient with a fusiform basilar trunk aneurysm. RESULTS Follow-up angiography revealed the successful obliteration of the aneurysm and that the graft was functioning well. Late ischemic complications, however, occurred 5 weeks after surgery. CONCLUSION Kawase's approach is a versatile option for safe vascular reconstruction of the posterior cerebral artery and exposure of a basilar trunk aneurysm in the upper clival region. Although, theoretically, a high-flow bypass might decrease the risk of hemodynamic ischemia, it does not prevent thromboembolic complications.


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