Surgical Revascularization of Symptomatic Kinking of the Internal Carotid Artery
| Autor: | Shi-gang Zhang, Lexin Wang, Kai Lin, Gang Li, Weidong Liu, Jiheng Hao, Liyong Zhang, Jiyue Wang |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Computed Tomography Angiography medicine.medical_treatment Recurrent nerve 030204 cardiovascular system & hematology Revascularization Carotid bulb 03 medical and health sciences Postoperative Complications 0302 clinical medicine Internal medicine medicine.artery medicine Humans Carotid Stenosis Prospective Studies Stroke Aged Endarterectomy Carotid Palsy business.industry General Medicine Middle Aged medicine.disease Thrombosis Surgery Treatment Outcome Ischemic Attack Transient Replantation Cardiology Female Internal carotid artery Cardiology and Cardiovascular Medicine business Vascular Surgical Procedures Carotid Artery Internal 030217 neurology & neurosurgery Surgical revascularization |
| Zdroj: | Vascular and Endovascular Surgery. 50:470-474 |
| ISSN: | 1938-9116 1538-5744 |
| DOI: | 10.1177/1538574416671246 |
| Popis: | Objective: To evaluate the safety and outcomes of surgical revascularization for patients with symptomatic kinking of the internal carotid artery (ICA). Methods: Twenty-five consecutive patients presented with symptomatic kinking of the ICA and a history of transient ischemic attack (TIA) or stroke were prospectively enrolled in this study. All patients were treated with ICA transection and end-to-side reimplantation at the level of the carotid bulb. Patients were followed up for a median of 32 months. Results: There were no deaths or strokes within the 30 days of the treatment. No postprocedural thrombosis or narrowing of the ipsilateral ICA was observed. One (4%) patient had temporary recurrent nerve palsy, which was completely recovered at 4-week follow-up. One (4%) patient had a myocardial ischemic event. At the end of the 32-month follow-up, 1 (4%) patient developed ipsilateral minor stroke. No recurrent stenosis was detected by Doppler ultrasound. Conclusion: Surgical treatment for isolated, symptomatic kinking of the ICA and a history of TIA or stroke is safe, and the outcomes are acceptable. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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