scholarly journals Atypical posterior circulation strokes: a case-based review of rare anatomical variations involved

2021 ◽  
Vol 62 (1) ◽  
pp. 289-293
Author(s):  
Carmen Corina Roman-Filip ◽  
◽  
Anca-Rafila Stîngaciu ◽  
Maria-Gabriela Catană ◽  
Andreea-Alina Dan ◽  
...  
Keyword(s):  
Anatomical Variations ◽  
Posterior Circulation ◽  
Case Based

Left Transradial Approach

2021 ◽  
pp. 85-88
Author(s):  
Ahmad Sweid ◽  
Eric C. Peterson ◽  
Pascal M. Jabbour
Keyword(s):  
Vertebral Artery ◽  
Essential Role ◽  
Anatomical Variations ◽  
Posterior Circulation ◽  
Left Vertebral Artery ◽  
Dominant Hand ◽  
Transradial Approach ◽  
Transradial Access

The left transradial access has an essential role in the cerebrovascular armamentarium in limited indications. Access to the posterior circulation via the left vertebral artery is one of the main indications, in addition to cases that require bilateral access. It has several advantages such as using the non-dominant hand, ergonomic when accessing through the anatomical snuffbox, and overcomes certain anatomical variations. This chapter will delve the advantages, limitations, and technical nuances of the left transradial approach.

Abstract #235: T2D Management: Can Case-Based CME Improve Physician Performance?

2016 ◽  
Vol 22 ◽  
pp. 48-49
Author(s):  
Amy Larkin ◽  
Colleen Healy ◽  
Anne Le
Keyword(s):  
Physician Performance ◽  
Case Based

Neuromuscular Disease: A Case-Based Approach

2013 ◽  
Author(s):  
John H. J. Wokke ◽  
Pieter A. van Doorn ◽  
Jessica E. Hoogendijk ◽  
Marianne de Visser
Keyword(s):  
Neuromuscular Disease ◽  
Case Based

Carotid endarterectomy in patients with foetal-type posterior circle of Willis: Is there an indication for local anaesthesia?

VASA ◽  
2011 ◽  
Vol 40 (5) ◽  
pp. 404-407
Author(s):  
Maras ◽  
Tzormpatzoglou ◽  
Papas ◽  
Papanas ◽  
Kotsikoris ◽  
...  
Keyword(s):  
Carotid Endarterectomy ◽  
Local Anaesthesia ◽  
Anatomical Variation ◽  
Anatomical Variations ◽  
Circle Of Willis ◽  
Variable Degree ◽  
Operative Complications ◽  
The Right ◽  
Ica Stenosis ◽  
Symptomatic Stenosis

Foetal-type posterior circle of Willis is a common anatomical variation with a variable degree of vessel asymmetry. In patients with this abnormality, carotid endarterectomy (CEA) may create cerebral hypo-perfusion intraoperatively, and this may be underestimated under general anaesthesia. There is currently no evidence that anatomical variations in the circle of Willis represent an independent risk factor for stroke. Moreover, there is a paucity of data on treating patients with such anatomical variations and co-existing ICA stenosis. We present a case of CEA under local anaesthesia (LA) in a 52-year-old female patient with symptomatic stenosis of the right ICA and coexistent foetal-type posterior circle of Willis. There were no post-operative complications and she was discharged free from symptoms. She was seen again 3 months later and was free from complications. This case higlights that LA should be strongly considered to enable better intra-operative neurological monitoring in the event of foetal-type posterior circle of Willis.

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