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    Saturated salt solution: a further step to a formaldehyde-free embalming method for veterinary gross anatomy.
    J Anat 2017 May 24. Epub 2017 May 24.
    Department of Anatomy and Unit for Multidisciplinary Research in Biomedicine (UMIB), Institute of Biomedical Sciences Abel Salazar (ICBAS), University of Porto, Porto, Portugal.
    In the field of veterinary anatomy, most of the specimens used in practical sessions are perfused with fixatives. Thus, they can be used for a longer time, reducing the number of animals for educational purposes. Formalin is the most commonly used fixative, consisting of a 37% formaldehyde solution. Read More

    Dissection extending from extra- to intracranial arteries: A case report of progressive ischemic stroke.
    Medicine (Baltimore) 2017 May;96(21):e6980
    aStroke Center bNeuroscience Center, Department of Neurology cDepartment of Radiology, the First Hospital of Jilin University, Chang Chun, China.
    Rationale: Cervicocephalic artery dissections, once considered a rare disease, have become increasingly recognized as a cause of stroke in young and middle-aged individuals. Early diagnosis is mandatory because anticoagulation or antithrombotic therapy can help prevent primary or secondary ischemic events. However, the diagnosis is still a crucial challenge for radiologists and neurologists. Read More

    Transcervical Carotid Stent Placement in the Setting of a Hostile Neck and a Type III Aortic Arch.
    Vasc Endovascular Surg 2017 Jan 1:1538574417710601. Epub 2017 Jan 1.
    2 Division of Vascular Surgery, Department of Surgery, Rutgers-Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
    Previous radical neck dissection and neck irradiation pose considerable operative risks in patients requiring carotid endarterectomy for symptomatic carotid disease. Carotid stenting is an acceptable alternative for these patients but carries a higher risk of cerebrovascular accidents especially in patients with type III aortic arch anatomy. Herein, we present a technically challenging case of a patient with an irradiated neck and a history of radical neck dissection who presented with a symptomatic high-grade left internal carotid artery stenosis in the setting of a type III aortic arch. Read More

    Eagle syndrome: A case report of stylocarotid syndrome with internal carotid artery dissection.
    Interv Neuroradiol 2017 Jan 1:1591019917706050. Epub 2017 Jan 1.
    2 Department of Radiology, University of Missouri Hospital, USA.
    Eagle syndrome is defined by an elongated styloid process or a calcified stylohyoid ligament that impinges on surrounding structures and causes a variety of symptoms. Classically, Eagle syndrome presents as neck, throat, or ear pain. The vascular variant, stylocarotid syndrome, can present as headache, transient ischemic attack, or stroke. Read More

    Expanded transcanal transpromontorial approach to the internal auditory canal and cerebellopontine angle: a cadaveric study.
    Acta Otorhinolaryngol Ital 2017 Jun;37(3):224-230
    Otolaryngology-Head and Neck Surgery Department, University Hospital of Modena, Italy.
    The aim of this paper is to describe and evaluate the feasibility of an expanded endoscopic transcanal transpromotorial approach (ExpTTA) to the internal auditory canal and the cerebellopontine angle. To this end, we performed a cadaveric dissection study in September 2015. In total, 2 heads (4 sides) were dissected focusing on anatomical landmarks and surgical feasibility. Read More

    Histology of the Distal Dural Ring.
    Clin Anat 2017 May 17. Epub 2017 May 17.
    Departments of Neurologic Surgery, Mayo Clinic, Rochester, MN.
    Background: The distal dural ring (DDR) is a conserved intracranial anatomic structure marking the boundary point at which the internal carotid artery (ICA) exits the cavernous sinus (CS) and enters the subarachnoid space. Although the CS has been well described in a range of anatomic studies, to our knowledge no prior study has analyzed the histologic relationship between the ICA and DDR. Correspondingly, our objective was to assess the relationship of the DDR to the ICA and determine whether the DDR can be dissected from the ICA and thus divided, or can only be circumferentially trimmed around the artery. Read More

    Vascular labeling of the head and neck vessels: Technique, advantages and limitations.
    J Clin Exp Dent 2017 May 1;9(5):e682-e687. Epub 2017 May 1.
    Oral Surgery and Implantology Master degree program; Faculty of Medicine and Health Sciences, University of Barcelona, Spain.
    Background: Vascular staining techniques have been used to describe the vascular structures of several anatomic areas. However, few reports have described this procedure in the head and neck region. This paper describes a head and neck vascular labeling procedure, and describes some of the technical complications that may occur. Read More

    First experience with the double chimney technique in the treatment of aortic arch diseases.
    J Vasc Surg 2017 May 11. Epub 2017 May 11.
    Department of Vascular Surgery, The Second Xiangya Hospital of Central South University, Changsha, China; Angiopathy Institute of Central South University, Changsha, China.
    Objective: The objective of this study was to summarize our initial experience using the double chimney technique to treat aortic arch diseases.

    Methods: From December 2009 to October 2016, 23 patients with aortic arch diseases, including 20 acute aortic dissections, 2 aortic arch aneurysms, and 1 type I endoleak after thoracic endovascular aortic repair (TEVAR), were treated using a double chimney technique. An emergent operation was performed in only one patient with an acute aortic dissection for severe left lower extremity ischemia. Read More

    Extensive Cerebrovascular and Visceral Artery Dissection and Pseudoaneurysm with Underlying Segmental Arterial Mediolysis.
    Ann Vasc Surg 2017 May 10. Epub 2017 May 10.
    Minneapolis Heart Institute Foundation. Electronic address:
    Segmental arterial mediolysis (SAM) is a non-atherosclerotic, non-hereditary vasculopathy that most commonly involves abdominal aortic branches and predominantly affects middle-age and elderly populations. Lysis of the outer arterial media results in separation of the media from the adventitia leading to dissecting aneurysms and/or pseudoaneurysms. We report a unique case of a 47-year-old man who presented with bilateral internal carotid artery dissection followed by dissections and aneurysms involving multiple visceral arteries. Read More

    Extracranial internal carotid artery dissection caused by compression from a giant osteophyte due to atlantoaxial osteoarthritis: case report.
    J Neurosurg Spine 2017 May 12:1-5. Epub 2017 May 12.
    Department of Neurosurgery, Suisyoukai Murata Hospital, Osaka.
    Deformed osseous structures have been reported as rare causes of extracranial internal carotid artery (ICA) dissection, including the styloid process and the hyoid bone. Here, the authors describe the first known case of symptomatic ICA dissection caused by a giant osteophyte due to atlantoaxial osteoarthritis. The left ICA was fixed at the skull base and at the ICA portion compressed by the osteophyte, and it was highly stretched and injured between the two portions during neck rotation. Read More

    TIPIC Syndrome: Beyond the Myth of Carotidynia, a New Distinct Unclassified Entity.
    AJNR Am J Neuroradiol 2017 May 11. Epub 2017 May 11.
    From the Departments of Radiology (A.L., J.S., F.C., J.C.S.), and Neurology (M.O., G.V., O.G.), and Clinical Research Unit (H.P.), Fondation Ophtalmologique Adolphe de Rothschild, Paris, France; Department of Neuroradiology (N.M.d.C.), Montpellier University Hospital Center, Gui de Chauliac Hospital, Montpellier, France; Department of Radiology (B.C.), Centre Hospitalier Régional Universitaire de Rennes, Rennes, France; Department of Neuroradiology (O.N.), Centre Hospitalier Sainte-Anne, Paris, France; Department of Neuroradiology (M.A.-S.), Pitié-Salpêtrière Hospital, Paris, France; Centre D'imagerie Médicale Tourville (M.A.-S.), Paris, France; Department of Radiology (J.P.C.), Centre Hospitalier Régional Universitaire de Tours, Tours, France; Brain and Imaging Laboratory Unite Mixte de Recherche U930 (J.P.C.), Institut National de la Santé et de la Recherche Médicale, François-Rabelais University, Tours, France; Diagnostic and Interventional Neuroradiology Department (E.A.-C.) and Neurology Department (S.D.G.), Hôpital René et Guillaume-Laënnec, Centre Hospitalier Universitaire de Nantes, Saint-Herblain, France; Department of Radiology (J.B.), Hotel-Dieu Hospital, Paris, France; Department of Radiology (A.V.), Conception Hospital, Aix-Marseille University, Marseille, France; Departments of Neuroradiology (C.C., F.B.) and Neurology (N.N.), Hôpital Pierre-Paul-Riquet, Centre Hospitalier Universitaire Purpan, Toulouse, France; and Department of Neurology (D.C.J.), Victor Babes University of Medicine and Pharmacy, Timisoara, Romania.
    Background And Purpose: The differential diagnosis of acute cervical pain includes nonvascular and vascular causes such as carotid dissection, carotid occlusion, or vasculitis. However, some patients present with unclassified vascular and perivascular changes on imaging previously reported as carotidynia. The aim of our study was to improve the description of this as yet unclassified clinico-radiologic entity. Read More

    Internal carotid artery dissection and pseudoaneurysm formation with resultant ipsilateral hypoglossal nerve palsy.
    Radiol Case Rep 2017 Jun 6;12(2):371-375. Epub 2017 Mar 6.
    Department of Radiology, Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USA.
    Craniocervical artery dissection is a potentially disabling condition caused by an intimal tear allowing blood to enter and dissect the media in the cranial direction which can occur spontaneously or as a result of trauma. When the dissection extends toward the adventitia, it can form a protrusion from the weakened vessel wall called a pseudoaneurysm, which may become a nidus for distal thromboembolism or cause mass effect on adjacent structures. Accurate and prompt diagnosis is critical as timely treatment can significantly reduce the risk of complications such as stroke. Read More

    The Candy-Plug Technique: Technical Aspects and Early Results of a New Endovascular Method for False Lumen Occlusion in Chronic Aortic Dissection.
    J Endovasc Ther 2017 May 1:1526602817709252. Epub 2017 May 1.
    1 German Aortic Center Hamburg, Department of Vascular Medicine, University Heart Center, University Hospital Hamburg-Eppendorf, Hamburg, Germany.
    Purpose: To describe the technical aspects and early results of the Candy-Plug technique for endovascular false lumen occlusion in chronic aortic dissection.

    Methods: A retrospective single-center study analyzing 18 consecutive patients (mean age 63 years, range 44-76; 16 men) with thoracic false lumen aneurysm in chronic aortic dissection. All patients underwent thoracic endovascular aortic repair with false lumen occlusion using the Candy-Plug technique. Read More

    Medially displaced common and internal carotid arteries presenting as a pulsatile mass: Clinicoradiologic analysis of 62 cases.
    Ear Nose Throat J 2017 Apr-May;96(4-5):E1-E7
    Head and Neck Surgery Clinic, Izmir Tepecik Egitim ve Arastirma Hastanesi KBB Klinigi, Gaziler cad. No: 468, 35170 Yenisehir Izmir, Turkey.
    We conducted a prospective study to analyze the medially displaced courses of the common carotid artery (CCA) and the cervical segment of the internal carotid artery (ICA) in patients who were diagnosed with a pulsatile mass on nasopharyngolaryngoscopy and by clinicoradiologic findings. Our study group was made up of 62 patients-40 women and 22 men, aged 30 to 88 years (mean: 63.7)-who presented with a submucosal pseudomass or a bulging mass on the pharyngeal wall with obvious pulsation. Read More

    Acute early carotid stent thrombosis. A case series.
    Ann Vasc Surg 2017 May 5. Epub 2017 May 5.
    Department of Radiology, School of Medicine, National and Kapodistrian University of Athens, Department of Vascular Surgery, Attikon University Hospital, Greece.
    Purpose: Acute early carotid stent thrombosis (AcuteCST) is a rare complication after carotid artery stenting (CAS). Purpose of this retrospective study was to investigate the incidence, causes and optimal management of AcuteCST.

    Methods: Medical records of all patients undergoing CAS between 2008 and 2016 were retrospectively reviewed. Read More

    Absent right common carotid artery associated with aberrant right subclavian artery.
    Neuroradiol J 2017 Jan 1:1971400917698980. Epub 2017 Jan 1.
    3 Department of Radiology, Saitama Medical University Hospital, Japan.
    Rarely, the external and internal carotid arteries arise separately from the brachiocephalic trunk and right subclavian artery (SA) or the aortic arch and reflect the absence of a common carotid artery (CCA). We report a 45-year-old man with absent right CCA associated with aberrant right SA, an extremely rare combination, diagnosed by computed tomography (CT) angiography during follow-up for postoperative aortic dissection. Retrospective careful observation of preoperative postcontrast CT revealed the absent right CCA. Read More

    A Ten-Year Experience Using a Hybrid Endovascular Approach to Treat Aberrant Subclavian Arterial Aneurysms.
    Ann Vasc Surg 2017 May 4. Epub 2017 May 4.
    USF Health Morsani College of Medicine, Division of Vascular and Endovascular Surgery. USF Health South Building, 7(th) floor, 2a Columbia drive, Tampa, FL 33606.
    Background: To describe a single center experience using combined extra-anatomic open arch branch revascularization with aortic arch endovascular exclusion for treatment of aberrant subclavian artery aneurysms.

    Methods: All patients undergoing management of aberrant subclavian aneurysms were identified from a prospective patient registry. Means of revascularization included carotid-subclavian bypass or subclavian transposition and origin occlusion was performed by surgical ligation or endovascular embolization at surgeon discretion. Read More

    Histological Assessment of the Carotid Sheath in Patients With Oral Squamous Cell Carcinoma.
    J Oral Maxillofac Surg 2017 Apr 4. Epub 2017 Apr 4.
    Reader, Department of Oral Pathology and Microbiology, SDM College of Dental Sciences and Hospital, Sattur, Dharwad, Karnataka, India.
    Purpose: During surgical management of the neck using various types of neck dissection, the carotid sheath is removed, in particular, the part adjacent to the jugular lymph node chain, with the intention of preventing recurrence from the lymphatics present in it. The role of the carotid sheath as a potential origin for nodal recurrence has not been proved thus far. Working in a tissue plane between the carotid sheath and the neurovascular structures of the neck can lead to a greater chance of damage to these structures. Read More

    Clinical Significance of Intraluminal Contrast Enhancement in Patients with Spontaneous Cervical Artery Dissection: A Black-Blood MRI Study.
    Rofo 2017 Apr 26. Epub 2017 Apr 26.
    Radiology Center Rosenheim, Rosenheim, Germany.
    Purpose Recent studies have suggested that intraluminal thrombi show contrast enhancement on carotid black-blood T1w MRI. The aim of this study was to evaluate the significance of intraluminal contrast enhancement (iCE) regarding symptom status in patients with spontaneous cervical artery dissection (sCAD). Methods 33 consecutive patients (19 men) with sCAD received a brain MRI (DIFF, T2w, T2*w, FLAIR) and a multi-sequence 3T-MRI with fat-saturated high-resolution black-blood T1w-sequences pre- and post-contrast, contrast-enhanced MR angiography and TOF images of carotid and vertebral arteries. Read More

    Evaluation of Horner Syndrome in the MRI Era.
    J Neuroophthalmol 2017 Apr 25. Epub 2017 Apr 25.
    Department of Ophthalmology (AS, SS, KCG), University of Cincinnati College of Medicine, Cincinnati, Ohio Department of Ophthalmology (KCG), Cincinnati Eye Institute, Cincinnati, Ohio.
    Background: To identify the etiologies of adult Horner syndrome (HS) in the MRI era using a targeted evaluation approach and to assess the value and yield of targeted imaging.

    Methods: A retrospective chart review was performed of 200 adult outpatients with HS, confirmed with cocaine eyedrop testing. Patients were divided into subgroups based on the presence or absence of symptoms and those who did or did not receive additional testing with hydroxyamphetamine drops. Read More

    Angiographic anatomy of the extracranial and intracranial portions of the internal carotid arteries in donkeys.
    Ir Vet J 2017 20;70:12. Epub 2017 Apr 20.
    Weipers Centre Equine Hospital, School of Veterinary Medicine, University of Glasgow, Glasgow, UK.
    Background: In horses, the extracranial and intracranial pathway of the internal carotid artery has been described. The extracranial pathway of the internal carotid artery begins at the carotid termination and runs on the dorsal surface of the medial compartment of the guttural pouch. Thereafter the internal carotid artery passes through the foramen lacerum to continue intracranially, forming part of the rostrolateral quadrants of the cerebral arterial circle (Circle of Willis). Read More

    In Situ Laser Fenestration Is a Feasible Method for Revascularization of Aortic Arch During Thoracic Endovascular Aortic Repair.
    J Am Heart Assoc 2017 Apr 21;6(4). Epub 2017 Apr 21.
    Department of Vascular Surgery, School of Medicine, Shanghai Ninth People's Hospital, Shanghai JiaoTong University, Shanghai, China
    Background: Reconstruction of the aortic major branches during thoracic endovascular aortic repair is complicated because of the complex anatomic configuration and variation of the aortic arch. In situ laser fenestration has shown great potential for the revascularization of aortic branches. This study aims to evaluate the feasibility, effectiveness, and safety of in situ laser fenestration on the three branches of the aortic arch during thoracic endovascular aortic repair. Read More

    Right aortic arch analysis - Anatomical variant or serious vascular defect?
    BMC Cardiovasc Disord 2017 Apr 19;17(1):102. Epub 2017 Apr 19.
    Department of Radiology, Medical University of Łódź, Kopcińskiego 22, 90-153, Łódź, Poland.
    Background: The right-sided aortic arch (RAA) is a rare congenital defect of the aorta. The aim of the study was to assess the occurrence of RAA in diagnoses performed by the University Radiology Department and analyze the frequency of concomitant vascular abnormalities.

    Methods: The database of the Radiology Department was retrospectively analyzed between January 2008 and May 2016 with the keyword "right aortic arch". Read More

    Is Neck Dissection Associated with an Increased Risk of Postoperative Stroke?
    Otolaryngol Head Neck Surg 2017 Apr 1:194599817698414. Epub 2017 Apr 1.
    1 Department of Otolaryngology-Head and Neck Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
    Objective Prior studies have reported widely disparate rates of postoperative stroke, with conflicting analyses of whether neck dissection is an independent risk factor. Study Design Cohort study. Setting American College of Surgeons National Surgical Quality Improvement Program from 2005 to 2013. Read More

    Endovascular repair of a ruptured thoracic aortic dissection with a right sided aortic arch: A case report.
    Int J Surg Case Rep 2017 28;34:139-143. Epub 2017 Mar 28.
    Department of Vascular and Endovascular Surgery, Geisinger Medical Center, Danville, PA, United States.
    Background: Emergency treatment of complex aortic pathology is challenging in the setting of a right-sided aortic arch. We report the successful treatment of a ruptured thoracic aortic aneurysm (TAA) in the setting of a Stanford type B aortic dissection (TBAD) and right-sided aortic arch.

    Presentation Of Case: The patient is a 66-year-old male with chronic kidney disease (CKD) admitted with right sided chest pain and hypotension. Read More

    Carotid Dissection Complicated by Polymorphic Ventricular Tachycardia.
    J Stroke Cerebrovasc Dis 2017 Jun 5;26(6):e99-e101. Epub 2017 Apr 5.
    Division of Cardiovascular Medicine, Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa.
    In this case report, we describe a patient with fibromuscular dysplasia who suffered spontaneous bilateral carotid artery dissections. This was followed by significant variations in blood pressure and heart rates during her admission. Unfortunately, during an episode of bradycardia, a premature ventricular contraction occurred during the T wave which resulted in polymorphic ventricular tachycardia. Read More

    Management and outcomes of carotid artery extension of aortic dissections.
    J Vasc Surg 2017 Apr 5. Epub 2017 Apr 5.
    Division of Vascular Surgery, University of Maryland, Baltimore, Md; Center for Aortic Disease, University of Maryland Medical Center, Baltimore, Md. Electronic address:
    Background: Aortic dissection (AD) is the most common aortic catastrophe. Carotid artery dissection due to extension of AD (CAEAD) is one severe complication of this condition. Despite years of refinement in the techniques for repair of AD, the optimal management strategy for CAEAD remains yet to be described. Read More

    Thoracic Endovascular Aortic Repair With Single/Double Chimney Technique for Aortic Arch Pathologies.
    J Endovasc Ther 2017 Jun 21;24(3):383-393. Epub 2017 Mar 21.
    1 Department of Vascular Surgery, The 2nd Xiang-ya Hospital, Changsha, Hunan, China.
    Purpose: To summarize a single-center experience using the single/double chimney technique in association with thoracic endovascular aortic repairs (TEVAR) for aortic arch pathologies.

    Methods: From November 2007 to March 2016, 122 patients (mean age 50.4±12. Read More

    Minimally invasive medial supraorbital, combined subfrontal-interhemispheric approach to the anterior communicating artery complex-a cadaveric study.
    Acta Neurochir (Wien) 2017 Jun 7;159(6):1079-1085. Epub 2017 Apr 7.
    Department of Neurosurgery, Kantonsspital Aarau, Tellstrasse 25, 5001, Aarau, Switzerland.
    Introduction: In selected cases, microsurgical clipping remains a valuable treatment alternative to endovascular occlusion of anterior communicating artery (AComA) aneurysms. Their clipping is challenging and carries a risk of postsurgical cognitive impairment. We evaluate the microsurgical anatomy of a new, minimally invasive combined interhemispheric-subfrontal approach to the AComA complex via a medial supraorbital craniotomy. Read More

    Endoscopic endonasal nasopharyngectomy: tensor veli palatine muscle as a landmark for the parapharyngeal internal carotid artery.
    Int Forum Allergy Rhinol 2017 Apr 6. Epub 2017 Apr 6.
    Department of Otolaryngology, Kuang-Tien General Hospital, Taichung, Taiwan.
    Background: Endoscopic endonasal nasopharyngectomy(EEN) can be a promising option for select patients with recurrent nasopharyngeal carcinoma, but serious complications can occur in terms of parapharyngeal internal carotid artery (PPICA) injury. Several landmarks have been proposed for locating the PPICA. In this study, we investigated the spatial relationship between the tensor veli palatini (TVP) muscle and the PPICA in a cadaveric model. Read More

    Reduced Internal Carotid Artery Flow in Color-coded Carotid Duplex Sonography.
    Acta Neurol Taiwan 2016 Dec;25(4):136-147
    Stroke Center and Department of Neurology, Taipei Tzuchi Hospital, Buddhist Tzu Chi Medical Foundation Taipei; School of Medicine, Tzu Chi University, Hualien, Taiwan.
    Purpose: Reduced flow in the internal carotid artery (ICA) is related to cerebral ischemia. We established a classification of reduced ICA flow through color-coded carotid duplex (CCD) sonography.

    Methods: We retrospectively reviewed 25,000 CCD images in sonography laboratory. Read More

    Endovascular Stenting for Symptomatic Carotid Dissection with Hemodynamic Insufficiency.
    World Neurosurg 2017 Mar 28. Epub 2017 Mar 28.
    Objective: To date, no controlled studies on the treatment of carotid artery dissection (CAD) have been reported. The purpose of this study was to demonstrate the technical feasibility and clinical efficacy of stent-supported angioplasty (SSA) as primary treatment for acute stroke due to CAD.

    Methods: Review of medical records identified 21 patients who underwent SSA as primary treatment for acute stroke related to CAD between 2008 and 2014. Read More

    Anticoagulation vs Antiplatelet Treatment in Patients with Carotid and Vertebral Artery Dissection: A Study of 370 Patients and Literature Review.
    Neurosurgery 2017 Mar;80(3):368-379
    Background: Dissection of the carotid and vertebral arteries is an important cause of stroke in young patients.

    Objective: The objective of this study is to compare antithrombotic treatments in patients with carotid and vertebral dissections.

    Methods: Three hundred seventy patients with carotid and vertebral artery dissections were included. Read More

    Idiopathic Carotidynia.
    Vasc Endovascular Surg 2017 Apr;51(3):149-151
    1 Division of Vascular and Endovascular Surgery, New York University Langone Medical Center, New York, NY, USA.
    Idiopathic carotidynia is a syndrome characterized by pain and tenderness over the carotid artery without an associated structural luminal abnormality. Controversy exists over whether this is a distinct disease entity or merely a symptom attributable to other causes of neck pain, such as carotid dissection or vasculitis. A 50-year-old woman presented with sudden-onset right neck pain. Read More

    The advantage of ultrasonography in the diagnosis of extracranial vertebral artery dissection: Two case reports.
    Medicine (Baltimore) 2017 Mar;96(12):e6379
    aInstitute of Ultrasound Imaging, Chongqing Medical University, Chongqing, China bDepartment of Neurology, Baotou Central Hospital, Baotou, Inner Mongolia, China cDepartment of Ultrasonography, The Second Affiliated Hospital, Chongqing Medical University, Chongqing, China.
    Rationale: With the rapid development in technology of vascular imaging, the detection of artery dissection is also gradually increasing. Cervical artery dissection, including carotid artery and vertebral artery dissection, is associated in at least 20% of young adult patients with stroke. So, the diagnosis of cervical artery has become a great challenge. Read More

    Stenting of the cervical internal carotid artery in acute stroke management: The Karolinska experience.
    Interv Neuroradiol 2017 Apr 13;23(2):159-165. Epub 2016 Dec 13.
    3 Department of Neuroradiology, Karolinska University Hospital, Sweden.
    Background Emergency stent placement in the extracranial internal carotid artery in combination with anterior circulation thrombectomy is a routine procedure. Yet, precise indications and clinical safety in this setting remains controversial. Present data for mechanical thrombectomy include few studies with acute stenting of tandem occlusions. Read More

    A Previously Unreported Arterial Variant of the Suboccipital Region Based on Cadaveric Dissection.
    J Neurol Surg Rep 2017 Jan;78(1):e40-e42
    Seattle Science Foundation, Seattle, Washington, United States.
    Introduction Several arterial variants have been reported to occur around the posterior arch of the atlas. Understanding the various anomalies and diagnosing them preoperatively can dramatically reduce the risk of surgical insult during neurosurgical procedures. Herein we report a case of an arterial variant found just below the posterior arch of C1. Read More

    Anatomical nuances of the internal carotid artery in relation to the quadrangular space.
    J Neurosurg 2017 Feb 24:1-8. Epub 2017 Feb 24.
    Departments of 1 Otolaryngology-Head & Neck Surgery and.
    OBJECTIVE The aim of this study was to evaluate the anatomical variations of the internal carotid artery (ICA) in relation to the quadrangular space (QS) and to propose a classification system based on the results. METHODS A total of 44 human cadaveric specimens were dissected endonasally under direct endoscopic visualization. During the dissection, the anatomical variations of the ICA and their relationship with the QS were noted. Read More

    Carotid artery dissection: a rare complication of Eagle syndrome.
    BMJ Case Rep 2017 Mar 13;2017. Epub 2017 Mar 13.
    Department of Internal Medicine, SUNY Upstate Medical University, Syracuse, New York, USA.
    Carotid artery dissection is a significant cause of ischaemic stroke in all age groups and accounts for a large percentage of strokes in young patients. Carotid dissection can be caused by trauma, underlying connective tissue disease, hypertension, mechanical injury or can be spontaneous. We present an exceedingly rare case of carotid dissection caused by an elongated styloid process, causing direct mechanical damage to the carotid artery. Read More

    Delayed Stroke following Blunt Neck Trauma: A Case Illustration with Recommendations for Diagnosis and Treatment.
    Case Rep Emerg Med 2017 9;2017:3931985. Epub 2017 Feb 9.
    Memorial Regional Hospital, Division of Acute Care Surgery and Trauma, 3501 Johnson Street, Hollywood, FL 33021, USA.
    Blunt cerebrovascular injury (BCVI) to the carotid artery is a relatively rare injury that is difficult to identify even with imaging. Any symptoms or neurological deficits following blunt neck injury mandate evaluation and consideration of BCVI. In an effort to highlight this issue, we report the case of a 31-year-old male patient who presented with left-sided weakness consistent with transient ischemic attack (TIA) and concussion. Read More

    The Use of Tissue Plasminogen Activator in the Treatment of Wallenberg Syndrome Caused by Vertebral Artery Dissection.
    J Emerg Med 2017 May 28;52(5):738-740. Epub 2017 Feb 28.
    Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, Maryland.
    Background: Acute cerebrovascular accident (CVA) is a devastating cause of patient morbidity and mortality. Up to 10% of acute CVAs in young patients are caused by dissection of the vertebral or carotid artery. Wallenberg syndrome results from a CVA in the vertebral or posterior inferior artery of the cerebellum and manifests as various degrees of cerebellar dysfunction. Read More

    "Phacing" a New Cause of Carotid Artery Dissection.
    Neurologist 2017 Mar;22(2):54-56
    Departments of *Neurological Sciences †Neurological Sciences, Neuroradiology Unit ‡Pediatric Neurology §Neuroscience, University of Padua, School of Medicine, Padova, Italy.
    Introduction: Cervical arterial dissection (CAD) is a frequent and preventable cause of ischemic stroke in young patients. Several arguments suggest that genetic and developmental disorders could play an important role as part of a multifactorial predisposition of sporadic CAD.We present 2 cases of young patients with CAD in association with cutaneous lesions and nonatherosclerotic multivessel arteriopathy. Read More

    Percutaneous Cervical Sympathetic Block for Pain Control after Internal Carotid Artery Dissection. A Report of Two Cases.
    J Vasc Interv Neurol 2017 Jan;9(3):36-40
    Zeenat Qureshi Stroke Institute, St. Cloud, MN 56303, USA.
    Background: Medical treatment of cranio-cervical pain can be suboptimal in patients with internal carotid artery (ICA) dissection. We report the use of cervical sympathetic block for treatment of pain in two patients with ICA dissection.

    Case Reports: A 58-year-old man and a 43-year-old woman presented with severe cranio-cervical pain associated with left and right ICA dissection confirmed by magnetic resonance imaging and cerebral angiography. Read More

    Feasibility and safety of direct catheter-based thrombectomy in the treatment of acute ischaemic stroke. Cooperation among cardiologists, neurologists and radiologists. Prospective registry PRAGUE-16.
    EuroIntervention 2017 May;13(1):131-136
    Charles University, Third Faculty of Medicine, University Hospital Kralovske Vinohrady, Prague, Czech Republic.
    Aims: The aim of this study was to evaluate the role of direct catheter-based thrombectomy (d-CBT, without thrombolysis) and the feasibility and safety of d-CBT performed in an interventional cardiology centre.

    Methods And Results: This single-centre, prospective observational registry based on the pre-specified protocol included three months of follow-up. The decision to perform acute stroke intervention was made by a neurologist based on the clinical and imaging findings. Read More

    Endovascular Management of a Ruptured Aortic Arch Pseudoaneurysm Using the Snorkel Technique and Coil Embolization.
    Ann Vasc Surg 2017 May 27;41:281.e7-281.e10. Epub 2017 Feb 27.
    Department of Vascular Surgery, Zhongshan Hospital, Institute of Vascular Surgery, Fudan University, Shanghai, China.
    We report a reoperation case of a ruptured infectious aortic arch pseudoaneurysm, which was stabilized with thoracic endovascular aortic repair and snorkel bypass of the innominate artery (IA) and the left common carotid artery (LCCA). A 57-year-old Chinese woman with multiple comorbidities and previous open repair for Stanford type A aortic dissection 5 years ago presented with a ruptured 10.7 cm × 7. Read More

    Intracranial and Extracranial Neurovascular Manifestations of Takayasu Arteritis.
    AJNR Am J Neuroradiol 2017 Apr 23;38(4):766-772. Epub 2017 Feb 23.
    Radiology (V.L., G.L., H.J.C., W.B.)
    Background And Purpose: Takayasu arteritis is a rare, large-vessel vasculitis that presents with symptoms related to end-organ ischemia. While the extracranial neurovascular manifestations of Takayasu arteritis are well-established, little is known regarding the intracranial manifestations. In this study, we characterize the intracranial and cervical neurovascular radiologic findings in patients with Takayasu arteritis. Read More

    Pipeline embolization device as primary treatment for cervical internal carotid artery pseudoaneurysms.
    Surg Neurol Int 2017 19;8. Epub 2017 Jan 19.
    Capital Institute for Neurosciences, Stroke and Cerebrovascular Center, Capital Health System, Trenton, NJ, USA.
    Background: Limited data exists on the durability and occlusion rate of treating extracranial cervical internal carotid artery pseudoaneurysms using the pipeline embolization device (PED) flow-diverting stent.

    Methods: Three patients presenting with dissecting cervical internal carotid artery pseudoaneurysms were treated with the PED as the sole treatment modality.

    Results: In all three patients, successful aneurysmal occlusion and parent vessel reconstruction occurred on immediate angiography and continued on 6-month follow-up. Read More

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