carotid artery endarterectomy
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2021 ◽  
Vol 14 (12) ◽  
pp. e246421
Author(s):  
Rohit Mehra ◽  
Vikram Patra ◽  
Rishi Dhillan

A 31-year-old woman was referred to vascular surgeons with the history of recurrent ischaemic strokes in two cerebral artery territories over a span of 1 year. On investigation, she was found to have a right internal carotid artery web, with thrombus and a fetal right posterior cerebral artery (PCA), which explained the ischaemic strokes in right middle cerebral and PCA territory. The rare association of these two infrequent entities makes the case a singular one in the medical literature. Successful surgical excision was done after multidisciplinary teamwork. The carotid web was excised as part of carotid artery endarterectomy and repaired with great saphenous vein patch angioplasty. The patient made a good recovery.


Author(s):  
Natalie Ferrero ◽  
Ceressa Ward ◽  
Robert Groff ◽  
Amit Prabhakar ◽  
BABAR FIZA

Development of severe hyponatremia after carotid endarterectomy procedure is rare. Several pathophysiological mechanisms related to the carotid endarterectomy procedure may infer an increased risk of developing this complication in specific populations.


2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Pasha Normahani ◽  
Bilal Khan ◽  
Viknesh Sounderajah ◽  
Sepideh Poushpas ◽  
Muzaffar Anwar ◽  
...  

Abstract Objective This review aims to summarise the contemporary uses of intraoperative completion Duplex ultrasound (IODUS) for the assessment of lower extremity bypass surgery (LEB) and carotid artery endarterectomy (CEA). Methods We performed a systematic literature search using the databases of MEDLINE. Eligible studies evaluated the use of IODUS during LEB or CEA. Results We found 22 eligible studies; 16 considered the use of IODUS in CEA and 6 in LEB. There was considerable heterogeneity between studies in terms of intervention, outcome measures and follow-up. In the assessment of CEA, there is conflicting evidence regarding the benefits of completion imaging. However, analysis from the largest study suggests a modest reduction in adjusted risk of stroke/mortality when using IODUS selectively (RR 0.74, CI 0.63–0.88, p = 0.001). Evidence also suggests that uncorrected residual flow abnormalities detected on IODUS are associated with higher rates of restenosis (range 2.1% to 20%). In the assessment of LEB, we found a paucity of evidence when considering the benefit of IODUS on patency rates or when considering its utility as compared to other imaging modalities. However, the available evidence suggests higher rates of thrombosis or secondary intervention in grafts with uncorrected residual flow abnormalities (up to 36% at 3 months). Conclusions IODUS can be used to detect defects in both CEA and LEB procedures. However, there is a need for more robust prospective studies to determine the best scanning strategy, criteria for intervention and the impact on clinical outcomes.


2021 ◽  
Vol 71 ◽  
pp. 466
Author(s):  
Sally Boyd ◽  
Kedar S. Lavingia ◽  
Wayne Tse ◽  
Michael Amendola

2020 ◽  
Vol 25 (3) ◽  
pp. 77-87
Author(s):  
A. Mackevičius ◽  
V. Mosenko ◽  
K. Laurikėnas ◽  
A. Šatavičiūtė ◽  
T. Baltrūnas ◽  
...  

JAMA ◽  
2020 ◽  
Vol 324 (1) ◽  
pp. 110 ◽  
Author(s):  
Ioana Baiu ◽  
Jordan R. Stern

2020 ◽  
Vol 135 ◽  
pp. e598-e609
Author(s):  
Qun-Long Jiang ◽  
Pei-Jian Wang ◽  
Hui-Xin Liu ◽  
Li-Li Huang ◽  
Xiao-Kui Kang

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