Anterior displacement of the mandible for better exposure of the distal segment of the extracranial carotid artery

1987 ◽  
Vol 86 (1-2) ◽  
pp. 56-60 ◽  
Author(s):  
G. P. Cantore ◽  
R. Delfini ◽  
A. Mariottini ◽  
A. Santoro ◽  
P. Cascone
Keyword(s):  
Carotid Artery ◽  
Distal Segment ◽  
Extracranial Carotid Artery ◽  
Anterior Displacement

Surgical management of extracranial carotid artery aneurysms

VASA ◽  
2016 ◽  
Vol 45 (3) ◽  
pp. 223-228 ◽  
Author(s):  
Jan Paweł Skóra ◽  
Jacek Kurcz ◽  
Krzysztof Korta ◽  
Przemysław Szyber ◽  
Tadeusz Andrzej Dorobisz ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Surgical Management ◽  
Minor Stroke ◽  
Stroke Rate ◽  
Extracranial Carotid Artery ◽  
Long Term Follow Up ◽  
End To End ◽  
Dacron Patch ◽  
Major Stroke

Abstract. Background: We present the methods and results of the surgical management of extracranial carotid artery aneurysms (ECCA). Postoperative complications including early and late neurological events were analysed. Correlation between reconstruction techniques and morphology of ECCA was assessed in this retrospective study. Patients and methods: In total, 32 reconstructions of ECCA were performed in 31 symptomatic patients with a mean age of 59.2 (range 33 - 84) years. The causes of ECCA were divided among atherosclerosis (n = 25; 78.1 %), previous carotid endarterectomy with Dacron patch (n = 4; 12.5 %), iatrogenic injury (n = 2; 6.3 %) and infection (n = 1; 3.1 %). In 23 cases, intervention consisted of carotid bypass. Aneurysmectomy with end-to-end suture was performed in 4 cases. Aneurysmal resection with patching was done in 2 cases and aneurysmorrhaphy without patching in another 2 cases. In 1 case, ligature of the internal carotid artery (ICA) was required. Results: Technical success defined as the preservation of ICA patency was achieved in 31 cases (96.9 %). There was one perioperative death due to major stroke (3.1 %). Two cases of minor stroke occurred in the 30-day observation period (6.3 %). Three patients had a transient hypoglossal nerve palsy that subsided spontaneously (9.4 %). At a mean long-term follow-up of 68 months, there were no major or minor ipsilateral strokes or surgery-related deaths reported. In all 30 surviving patients (96.9 %), long-term clinical outcomes were free from ipsilateral neurological symptoms. Conclusions: Open surgery is a relatively safe method in the therapy of ECCA. Surgical repair of ECCAs can be associated with an acceptable major stroke rate and moderate minor stroke rate. Complication-free long-term outcomes can be achieved in as many as 96.9 % of patients. Aneurysmectomy with end-to-end anastomosis or bypass surgery can be implemented during open repair of ECCA.

Current Management of Extracranial Carotid Artery Disease

2006 ◽  
Vol 1 (3) ◽  
pp. 293-301 ◽  
Author(s):  
Rabih Chaer ◽  
Brian DeRubertis ◽  
Sheela Patel ◽  
Stephanie Lin ◽  
Craig Kent ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Carotid Artery Disease ◽  
Current Management ◽  
Extracranial Carotid Artery ◽  
Artery Disease

Risk Stratification and Management of Extracranial Carotid Artery Disease

2021 ◽  
Vol 39 (4) ◽  
pp. 539-549
Author(s):  
Anna K. Krawisz ◽  
Brett J. Carroll ◽  
Eric A. Secemsky
Keyword(s):  
Carotid Artery ◽  
Risk Stratification ◽  
Carotid Artery Disease ◽  
Extracranial Carotid Artery ◽  
Artery Disease
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