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Ann Vasc Surg 2019 Feb 12. Epub 2019 Feb 12.

Background: Retrograde type A dissection (RTAD) is a serious complication after ascending aorta involved endovascular repair (AAIER). We here report our surgical approach to this serious complication.

Methods: From July 2011 to July 2014, 8 RTAD after AAIER patients received surgical repair in our institution. Read More

Ann Vasc Surg 2019 Feb 12. Epub 2019 Feb 12.

Department of Vascular and Endovascular Surgery, "San Giovanni-Addolorata Hospital", Via dell'Amba Aradam 9, 00184 Rome (RM), Italy.

Spinal cord ischemia is one of the most unpredictable and feared complication following open surgical or endovascular thoracic aortic repair. Protection of collateral network branches that contribute blood supply to spinal cord is fundamental in the prevention of this catastrophic condition. We report the case of a patient who underwent emergent endovascular treatment for a type B aortic dissection complicated by rupture of the false lumen, with intentional coverage of the left subclavian artery without revascularization. Read More

J Stomatol Oral Maxillofac Surg 2019 Feb 11. Epub 2019 Feb 11.

Centre hospitalier Intercommunal, Chirurgie Maxillo-faciale, Villeneuve Saint Georges 94195, France; CHU Bouaké, Bouaké, Ivory Coast.

Vascular variations are common. A cervicofacial anatomical dissection carried out at the anatomy laboratory allowed us to document a rare vascular variation. The facial artery did not give rise to branches that led to the submandibular gland; an artery arising directly from the external carotid artery vascularized the submandibular gland and gave rise to the ascending palatine artery that led to the maxilla. Read More

Ann Vasc Surg 2019 Feb 11. Epub 2019 Feb 11.

Department of Vascular Surgery, Singapore General Hospital; Vascular Service, Sengkang General Hospital.

Objectives: Endovascular aneurysm sealing (EVAS) was developed with the intention of expanding the anatomical limitations of conventional endovascular repair (EVAR) devices, as well as decrease rates of re-intervention secondary to migration and type II endoleaks in treatment of abdominal aortic aneurysms (AAA). Since its inception, EVAS has gained much popularity especially for patients with concomitant common iliac aneurysms, with good long term durability suggested by several studies. Currently, the known complications of EVAS, whilst considered uncommon, include endoleaks, renal artery and limb thrombosis. Read More

J Sports Med Phys Fitness 2019 Feb 12. Epub 2019 Feb 12.

Department of Medical Sciences and Public Health, Institute of Neurology, University of Cagliari, Monserrato, Cagliari, Italy.

Pulmonology 2019 Feb 9. Epub 2019 Feb 9.

Internal Medicine Service, Centro Hospitalar Tondela-Viseu, E.P.E., Portugal. Electronic address:

Giant Cell Arteritis (GCA) is a common systemic vasculitis that involves medium and large arteries, most frequently extracranial branches of the carotid artery. Prompt diagnosis and treatment is essential to prevent devastating complications, such as blindness, stroke and aortic aneurysm or dissection. Typical symptoms include headache, temporal artery tenderness and jaw claudication. Read More

EuroIntervention 2019 Feb 5. Epub 2019 Feb 5.

Department of Vascular Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University, School of Medicine, Shanghai 200011, P. R. China.

Aims: The aim of the study was to evaluate the feasibility, safety, and effectiveness of in situ diode laser fenestration of thoracic endovascular aortic repair (TEVAR) stent grafts to treat Stanford type A aortic dissection.

Methods And Results: 58 patients with acute or subacute Stanford type A aortic dissection treated with in situ diode laser fenestration during TEVAR under cerebral circulation protection with an extracorporeal bypass were reviewed retrospectively. Routine postoperative outcomes were recorded and assessed. Read More

Neurosurg Focus 2019 Feb;46(2):E2

1Department of Neurological Surgery, University of Virginia Health System, Charlottesville, Virginia; and.

While the majority of cerebral revascularization advancements were made in the last century, it is worth noting the humble beginnings of vascular surgery throughout history to appreciate its progression and application to neurovascular pathology in the modern era. Nearly 5000 years of basic human inquiry into the vasculature and its role in neurological disease has resulted in the complex neurosurgical procedures used today to save and improve lives. This paper explores the story of the extracranial-intracranial approach to cerebral revascularization. Read More

Neurosurg Focus 2019 Feb;46(2):E6

3Department of Radiology, and.

Spontaneous cervical artery dissection (sCAD) is a major cause of stroke in young adults. Multiple sCAD is a rarer, more poorly understood presentation of sCAD that has been increasingly attributed to cervical trauma such as spinal manipulation or genetic polymorphisms in extracellular matrix components. The authors present the case of a 49-year-old, otherwise healthy woman, who over the course of 2 weeks developed progressive, hemodynamically significant, bilateral internal carotid artery and vertebral artery dissections. Read More

World Neurosurg 2019 Jan 31. Epub 2019 Jan 31.

Department of Neurosurgery, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan.

Background: Sixth-nerve palsy often develops as a result of trauma, neoplasm, or vascular disease affecting the pons. Less commonly, this palsy can be caused by pathology of the internal carotid artery in the cavernous sinus region. Here, we describe a rare case of spontaneous dissection of the internal carotid artery in the cavernous sinus accompanied by acute sixth nerve palsy that was successfully treated with surgery. Read More

Ann Vasc Surg 2019 Jan 30. Epub 2019 Jan 30.

Division of Vascular Surgery, Harbor-UCLA Medical Center, Torrance, CA; Division of Vascular Surgery, Long Beach Memorial Heart & Vascular Institute, Long Beach, CA.

Introduction: Dynamic compliance (Cd) of the adult thoracic ascending and arch aorta has had limited evaluation in vivo in patients with aortic disease. This study evaluates aortic compliance using intravascular ultrasound (IVUS) across a range of thoracic aortic diseases.

Methods: Seventy-nine patients undergoing thoracic aortic endovascular procedures had Cd measurements of the ascending aorta proximal to the origin of the brachiocephalic trunk and distal to the origin of the left common carotid artery using IVUS prior to endograft deployment. Read More

World Neurosurg 2019 Jan 28. Epub 2019 Jan 28.

Department of Neurosurgery, Linkou Chang Gung Memorial Hospital & Chang Gung University, Taoyuan City, Taiwan.

Background: Mechanical thrombectomy is an effective management for acute large vessel occlusion. However, when difficult anatomy is encountered in which the reperfusion catheter cannot be positioned well, the outcomes can be less than optimal. Herein, we presented a patient with right common carotid artery and internal carotid artery occlusion after repair of an acute type A aortic dissection. Read More

NMC Case Rep J 2019 Jan 18;6(1):21-24. Epub 2018 Dec 18.

Department of Neurosurgery, Faculty of Medicine, Fukuoka University, Fukuoka, Fukuoka, Japan.

The variation in which the posterior inferior cerebellar artery arises from the hypoglossal branch of the ascending pharyngeal artery is thought to be related to the remnant of the primitive hypoglossal artery, and is referred to as a primitive hypoglossal artery variant. Cases in which the posterior inferior cerebellar artery arises from the jugular branch of the ascending pharyngeal artery are extremely rare. The authors present a case of a 50-year-old male with vertebral artery dissection who had this extremely rare variation bilaterally. Read More

Eur J Neurol 2019 Jan 29. Epub 2019 Jan 29.

U.O Neurologia, Istituto Ospedaliero Poliambulanza, Brescia, Italia.

Background: Because of their potential to alter the integrity of collagen and other components of the extracellular matrix fluoroquinolone antibiotics might be involved in the pathogenesis of spontaneous cervical artery dissection (sCeAD).

Methods: In the setting of a single-center case-control study, we assessed whether fluoroquinolone use in the 30-day period before the index event was associated with sCeAD (cases) in comparison with a group of age- and sex-matched patients who suffered a first-ever acute cerebral infarction of a cause other than CeAD (non-CeAD IS, controls).

Results: Overall, 284 cases (mean age, 43. Read More

Sci Rep 2019 Jan 24;9(1):592. Epub 2019 Jan 24.

Department of Neurosurgery, Medical University of Warsaw, Banacha 1a, 02-097, Warsaw, Poland.

The aim of this study was to assess the type and frequency of adverse events during the Wada test conducted with propofol as an anaesthetic agent. In total, 122 patients with temporal lobe epilepsy underwent the Wada test with propofol between 2006 and 2016 as part of presurgical evaluation at the Department of Neurosurgery of the Medical University of Warsaw. The Wada test was conducted bilaterally on 118 patients (236 cases). Read More

J Clin Ultrasound 2019 Jan 23. Epub 2019 Jan 23.

Department of Neurology, Peking University First Hospital, Beijing, China.

We report the case of a patient with chronic type A aortic dissection (AD), who had been admitted, 18 months ago, to another hospital with acute chest-tearing pain accompanied with transient loss of consciousness. His symptoms resolved but he reported after discharge a toothache and fluctuating right mandibular pain. He presented to our outpatient clinic because his facial pain aggravated. Read More

Vasc Specialist Int 2018 Dec 31;34(4):121-126. Epub 2018 Dec 31.

Department of Thoracic and Cardiovascular Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, Daegu, Korea.

Turner syndrome, also described as 45, X, may present with most serious cardiovascular anomalies including risk of aortic dissection and rupture. In emergency situation, management for aortic dissection with complicated anatomy accompanying vascular anomaly is challenging. Here, we report a rare case of ruptured type B aortic dissection with aberrant subclavian artery and partial anomalous pulmonary venous connection in a Turner syndrome. Read More

Curr Pain Headache Rep 2019 Jan 19;23(1). Epub 2019 Jan 19.

Department of Medicine, Neurology Division, Univ. of South Carolina School of Medicine-Greenville, Greenville Health System, 200 Patewood Dr., Suite #B350, Greenville, SC, 29615, USA.

Purpose Of Review: Here, we describe the four primary imaging modalities for identification of carotid artery dissection, advantages, limitations, and clinical considerations. In addition, imaging characteristics of carotid dissection associated with each modality will be described.

Recent Findings: Recent advances in etiopathogenesis describe the genetic factors implicated in cervical artery dissection. Read More

J Stroke Cerebrovasc Dis 2019 Jan 14. Epub 2019 Jan 14.

Division of Neurology, Department of Internal Medicine, Jichi Medical University School of Medicine, Shimotsuke, Tochigi, Japan.

Fatalities following intravenous recombinant tissue-type plasminogen activator therapy have been reported. Major fatal complications following intravenous recombinant tissue-type plasminogen activator therapy include intracranial hemorrhage, aortic dissection, and extracranial bleeding. However, the possibility that intravenous recombinant tissue-type plasminogen activator therapy itself paradoxically induces synchronized multiple cerebral novel infarctions has never been considered. Read More

Neuroradiol J 2019 Jan 16:1971400918825485. Epub 2019 Jan 16.

2 Department of Radiology, University of Pennsylvania Health System, USA.

Spontaneous internal carotid artery dissection occurs in patients of all ages, rarely presenting with hypoglossal nerve palsy. The characteristic imaging findings of internal carotid artery dissection and tongue denervation are reviewed in four patients. Recognition of internal carotid artery dissection is critical for appropriate treatment and to minimise the risk of thromboembolic-ischaemic complications. Read More

Cureus 2018 Oct 31;10(10):e3531. Epub 2018 Oct 31.

Internal Medicine, Cleveland Clinic - Fairview Hospital, Cleveland, USA.

Acute aortic dissection is a deadly disease that should be recognized promptly. We report an exceptional case of a 44-year-old African American female who presented with a rapidly progressing severe frontal headache. Initial computed tomography of the brain was negative. Read More

Rozhl Chir 2018 ;97(11):504-508

Introduction: Cervical spine injuries are immanently accompanied by trauma to cerebral neck arteries.

Method: A prospective two-cohort study, from oct. 2013 to oct. Read More

Anat Cell Biol 2018 Dec 29;51(4):302-304. Epub 2018 Dec 29.

Department of Anatomy, All India Institute of Medical Sciences, New Delhi, India.

Prior knowledge of arterial supply to the head and neck is of substantial importance for well-planned surgeries involving the concerned region. We are reporting an unusual and rare variation in the branching pattern of external carotid artery in a 60-year-old female cadaver. A common trunk known as thyrolinguofacial trunk, originating from the anterior surface of the external carotid artery (right and left) giving of superior thyroid artery and a linguofacial trunk during a routine neck dissection. Read More

Vasc Endovascular Surg 2019 Jan 10:1538574418823381. Epub 2019 Jan 10.

2 Second Department of Vascular Surgery and Angiology, Centre of Postgraduate Medical Education, Central Clinical Hospital of the Ministry of Internal Affairs, Warsaw, Poland.

Pseudoaneurysm formation is a rare but dangerous complication of carotid artery dissection. It can result from trauma, spontaneous artery dissection, or iatrogenic causes. Presence of symptoms and ineffective medical therapy are one of the indications for invasive treatment. Read More

Am J Forensic Med Pathol 2019 Jan 7. Epub 2019 Jan 7.

Section of Legal Medicine, Hospital of Terni, Terni, Italy.

The authors report a case of a man who developed stroke symptoms a few days after a road accident on his motorcycle. Radiographic examinations revealed the presence of bilateral dissection of the extracranial internal carotid arteries with signs of involvement of the brain parenchyma.The location, timing, and presentation lead to the conclusion that the carotid lesions were secondary to the motorcycle collision; in particular, we suppose that it is due to the pressure exerted by the helmet strap worn. Read More

Blood Press 2019 Jan 9:1-5. Epub 2019 Jan 9.

a Division of Cardiology , Cliniques Universitaires Saint-Luc, Université Catholique de Louvain , Brussels , Belgium.

We report the case of a 42-year-old patient referred for suspicion of fibromuscular dysplasia in the context of a carotid artery dissection occurring after a minor trauma. Initial complaints included left hemicrania, lateral diplopia with left 6 cranial nerve palsy and pulsatile tinnitus. The work-up disclosed a large left carotid-cavernous fistula, as well as more proximal carotid lesions compatible with multifocal fibromuscular dysplasia. Read More

BMJ Case Rep 2019 Jan 4;12(1). Epub 2019 Jan 4.

Department of Neurosurgery, University of Utah, Salt Lake City, Utah, USA.

Am J Case Rep 2019 Jan 5;20:21-25. Epub 2019 Jan 5.

Department of Anesthesiology, University Hospitals of Geneva, Geneva, Switzerland.

BACKGROUND Patients undergoing cardiac surgery are at risk of adverse perioperative neurological complications. Cerebral oximetry monitoring is increasingly used in these patients to detect intraoperative cerebral hypoxia or ischemic events. Near-infrared spectroscopy (NIRS) uses the near-infrared region of the electromagnetic spectrum for oximetry imaging. Read More

Pediatr Emerg Care 2019 Jan;35(1):e17-e21

Loma Linda University Medical Center, Loma Linda, CA.

Posterior oropharyngeal trauma commonly occurs in children and frequently presents to the emergency department (ED). Rarely, serious infectious and neurologic sequelae result. Emergency providers are tasked with the challenge of diagnosing the minority with life-threatening complications while maintaining thoughtful stewardship regarding radiation exposure. Read More

Surg Neurol Int 2018 4;9:247. Epub 2018 Dec 4.

International Center for Neurosurgery, Henan Provincial People's Hospital, Zhengzhou, China.

Background: Proximal anterior cerebral artery aneurysms are usually rare small aneurysms, mostly arising at the origin of perforating arteries on the A1 segment. They account for <1% of all intracranial aneurysms and may be treated by microsurgical or endovascular procedures. The microsurgical approach requires careful evaluation of the imaging. Read More

Surg Neurol Int 2018 28;9:233. Epub 2018 Nov 28.

International Center for Neurosurgery, Henan Provincial People's Hospital, Zhengzhou, China.

Background: Anterior communicating artery (AComA) aneurysms are the most complex aneurysms of the anterior cerebral circulation. They mostly arise between the dominant A1 and the AComA, and are associated with intraventricular hemorrhage or other aneurysms in around 20%-30% of the cases. Giant and fusiform aneurysms are rare in this location in contrast to the common small ruptured aneurysms. Read More

Medicine (Baltimore) 2018 Dec;97(52):e13866

Rationale: Mitochondrial encephalopathy, lactic acidosis and stroke-like episodes (MELAS) are thought to be rarely accompanied by macroangiopathy. We reported a case of MELAS that presented right distal internal carotid arterial (ICA) stenosis and reviewed 12 similar previously reported cases involving intracranial large blood vessels.

Patient Concerns: A 38-year-old man suffered from recurrent stroke-like episodes (SE) such as alternating hemiparesis (right lesion 3 years ago and current left lesion), cortical blindness and seizure for 3 years, and was previously misdiagnosed as cerebral infarction. Read More

J Vasc Surg 2019 Jan;69(1):181-189

Division of Vascular Surgery, Eastern Virginia Medical School, Norfolk, Va. Electronic address:

Objective: Head and neck cancer can involve the surrounding vasculature and require technically challenging vascular interventions. These interventions can be complicated by tumor invasion, history of prior surgery, and history of radiation therapy. Our aim was to examine patients with vascular interventions in association with head and neck cancer to determine outcomes and best practice. Read More

J Thorac Cardiovasc Surg 2018 Oct 28. Epub 2018 Oct 28.

Department of Cardiovascular Surgery, University Hospital Bern, Bern, Switzerland.

Objectives: The aim of this study was to investigate the fate of nonaortic arterial segments in patients with Marfan syndrome (MFS).

Methods: This was a retrospective analysis of 100 consecutive patients with MFS fulfilling Ghent criteria who underwent 192 interventions on any segment of the arterial tree and were followed over the past 20 years. A review of the available imaging regarding 9 defined regions of interest of the carotid, innominate, subclavian, iliac, and femoral arteries was performed. Read More

Oper Neurosurg (Hagerstown) 2018 Dec 20. Epub 2018 Dec 20.

Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona.

Ophthalmic segment aneurysms (OSAs) are technically challenging lesions with a wide-neck morphology and proximity to the optic nerve. Revascularization and aneurysm trapping are occasionally needed to manage unclippable OSAs. Microsurgical treatment requires anterior clinoidectomy, optic strut drilling, and proximal/distal dural ring dissection for adequate exposure. Read More

BMJ Case Rep 2018 Dec 13;11(1). Epub 2018 Dec 13.

Pediatrics, Icare clinics, Dubai, Dubai, UAE.

A 16-year-old Korean boy presented with acute onset vertigo, dysphagia and gait ataxia of 16 hours duration. He had history of headache and neck pain along with transient vertigo during a water slide ride 12 days before presentation. CT brain showed left cerebellar and left lateral medullary infarcts. Read More

BMJ Case Rep 2018 Nov 28;11(1). Epub 2018 Nov 28.

Medical Imaging Department, Mater Dei Hospital, Msida, Malta.

We present an unusual case of Eagle's syndrome with bilateral internal carotid artery dissection in a 45-year-old man. Initial symptomatology included ipsilateral headaches and facial sensory symptoms. A right horner's syndrome was present on clinical examination. Read More

J Neurosurg 2018 Nov 1:1-4. Epub 2018 Nov 1.

Departments of1Neurologic Surgery.

A carotid web is a shelf-like intraluminal filling defect typically arising from the posterolateral wall of the proximal internal carotid artery. It is recognized as a possible cause of ischemic stroke in young adults. However, its etiopathogenesis is controversial and remains to be fully elucidated. Read More

Vasa 2018 Dec 12:1-7. Epub 2018 Dec 12.

2 1st Department of Neurology, Aristotle University of Thessaloniki, AHEPA University General Hospital, Thessaloniki, Greece.

Background: Carotid dissection is a rare disease, mainly affecting young and middle-aged patients potentially ending up in stroke. Multimodality imaging plays an essential role, both in terms of prompt and accurate diagnosis and follow-up of this entity.

Patients And Methods: We herein present a case series of patients with internal carotid artery dissection and compare the various imaging findings of ultrasonography, multidetector computed tomography angiography and magnetic resonance angiography, with a purpose to illustrate the value of multimodality imaging in the diagnosis of carotid dissection. Read More

Clin Imaging 2018 Dec 2;54:48-52. Epub 2018 Dec 2.

Neurointervention Centre, Sunnybrook Health Sciences Centre, Toronto, ON, Canada. Electronic address:

A case of tandem occlusion consisting of right internal carotid artery (ICA) origin dissection and middle cerebral artery (MCA) thromoboembolism is reported. A 45 year-old male with right-sided neurological symptoms of emergent large vessel occlusion was treated with same-session angioplasty and mechanical thrombectomy of the respective lesions. The complete neurological recovery and radiological investigations are chronicled herein, and a review of the state of tandem occlusion management is discussed. Read More

World Neurosurg 2018 Dec 6. Epub 2018 Dec 6.

Divisions of Neurology, Saiseikai Fukuoka General Hospital, Fukuoka City, Fukuoka, Japan.

Background: There is increasing experimental evidence that stent retriever thrombectomy (SRT) may cause arterial wall damage, although histopathological findings focused on vessel wall injury after SRT have not fully been reported in humans.

Case Description: We describe an autopsy case of an 82-year-old woman who presented with acute left intracranial internal carotid artery (ICA) occlusion and received SRT. When we attempted to catheterize the M1 segment of the normal middle cerebral artery (MCA), we were not aware of a duplicated MCA, and the microcatheter was advanced into the main MCA trunk with a smaller caliber than that of the normal M1 segment. Read More

J Stroke Cerebrovasc Dis 2019 Mar 7;28(3):699-701. Epub 2018 Dec 7.

Department of Neurosurgery, Gifu University School of Medicine, Gifu, Japan.

Background: Bony structures around the carotid artery such as the styloid process and hyoid bone can cause dissection, compression, plaque formation, and plaque rupture of the carotid artery. To the best of our knowledge, this case is the first finding of thyroid cartilage being the cause of a lesion corresponding to adjacent common carotid artery (CCA) atherosclerosis.

Case Description: A 51-year-old man with a history of hypertension and dyslipidemia suddenly experienced right facial numbness and dysphasia while front crawl swimming, which he usually did 3 times weekly. Read More

Neurosurg Rev 2018 Dec 6. Epub 2018 Dec 6.

Department of Neurosurgery, Mainz University Hospital, Langenbeckstraße 1, 55131, Mainz, Germany.

Ipsilateral approaches remain the standard technique for clipping paraclinoid aneurysms. Surgeons must however be prepared to deal with bony and neural structures restricting accessibility. The application of a contralateral approach has been proposed claiming that some structures in the region can be better exposed from this side. Read More

Cureus 2018 Sep 28;10(9):e3382. Epub 2018 Sep 28.

Neurology, University of Missouri, Columbia, USA.

Horner syndrome is a constellation of neurological findings consisting of ipsilateral ptosis, miosis, and anhidrosis. Partial Horner syndrome, comprising ipsilateral ptosis and miosis in the absence of anhidrosis, is a well-documented but uncommon manifestation of internal carotid artery dissection. We report the case of a 42-year-old male patient who presented with ipsilateral ptosis and miosis and was subsequently diagnosed with internal carotid artery dissection. Read More

Ann Thorac Surg 2018 Nov 30. Epub 2018 Nov 30.

University of British Columbia. Electronic address:

We present the first known application of pre-operative percutaneous management of cerebral malperfusion in a patient with acute near-total occlusion of the right common carotid artery with left hemiplegia complicating an acute Stanford Type A aortic (Type A) dissection. Read More

J Craniofac Surg 2018 Nov 30. Epub 2018 Nov 30.

Otolaryngology Section, Head and Neck Surgery, Hospital Universitari Germans Trias i Pujol.

Introduction: Minimally invasive transoral surgery for oropharyngeal cancer is a challenge for head and neck surgeons because of the inside-out anatomic presentation and the confined workspace. This study was performed to describe the main neurovascular and muscular landmarks in a transoral approach. The authors propose an anatomic stratification for this surgery. Read More

J Surg Res 2019 Jan 6;233:335-344. Epub 2018 Sep 6.

Department of Surgery, Northwestern University, Chicago, Illinois; Department of Surgery, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina. Electronic address:

Background: Current procedures to treat severe atherosclerosis are traumatic to the arterial wall and often result in restenosis due to neointimal hyperplasia. We developed a novel therapy using a specially designed double occlusion balloon catheter, ultrasonic wire, and enzymatic digestion solution to atraumatically debulk atherosclerotic plaques.

Materials And Methods: A combination of different enzymes, chemicals, and treatment conditions were evaluated for its effect at reducing atherosclerotic plaque harvested from human carotid artery endarterectomies ex vivo. Read More

Ann Vasc Surg 2018 Nov 27. Epub 2018 Nov 27.

Department of Vascular Surgery, Singapore General Hospital, Singapore.

Background: Surgical management of advanced head and neck tumors involving the carotid artery remains controversial with compromised survival outcomes and heightened risks of morbidity and mortality.

Case: We describe a case of a 74-year-old lady with previous T1N0M0 left tongue squamous cell carcinoma, who developed a left nodal recurrence encasing the left external carotid artery from the carotid bifurcation. She underwent an extended left radical neck dissection with carotid artery patch plasty and remains well to date, 10 months after surgery. Read More

Laryngorhinootologie 2018 Nov 28. Epub 2018 Nov 28.