5,188 results match your criteria Dissection Carotid Artery


Stylo-carotid syndrome causing bilateral cervical carotid artery dissection requiring endovascular intervention.

Clin Neurol Neurosurg 2020 May 20;195:105943. Epub 2020 May 20.

Department of Neurology, Neurological Institute, Cleveland Clinic Abu Dhabi (CCAD), Abu Dhabi 112412, United Arab Emirates. Electronic address:

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http://dx.doi.org/10.1016/j.clineuro.2020.105943DOI Listing

The structural properties of carotid arteries in carotid artery diseases - a retrospective computed tomography angiography study.

Pol J Radiol 2020 10;85:e82-e89. Epub 2020 Feb 10.

Department of Radiology, Ege University, Faculty of Medicine, Bornova/Izmir, Turkey.

Purpose: Aim of the study was to find answers to the following questions: What haemodynamic changes may occur in patients with stenotic, aneurysmal, dissection of the carotid artery and its branches? How do these changes differ in patients with normal and carotid disease?

Material And Methods: In order to achieve this aim, the cranio-cervical CT angiography images of patients who were referred to our clinic for any reason and received the diagnosis of carotid stenosis, carotid dissection, and extra or intracranial aneurysm were reviewed retrospectively.

Results: Significant differences were detected in the carotid arteries of normal patients and those with aneurysm and dissection. When normal and aneurismal patients were compared, right and left ICA diameters ( = 0. Read More

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http://dx.doi.org/10.5114/pjr.2020.93367DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7247020PMC
February 2020

Myocardial Infarction as the Initial Presentation for Fibromuscular Dysplasia.

Am J Med Case Rep 2020 12;8(7):166-172. Epub 2020 Apr 12.

Department of Internal Medicine, State University of New York: Downstate Medical Center, Brooklyn, New York, United States- 11203.

Background: Fibromuscular dysplasia (FMD) is a non-atherosclerotic disease that affects medium-sized arteries and results in stenosis, dissection, aneurysm or occlusion. It is most commonly reported in the renal and carotid arteries. Involvement of coronary arteries is quite rare and and leads to serious consequences. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7252985PMC

Transverse aortic arch transection in a polytrauma patient- challenges faced and lessons learnt.

Ann Thorac Surg 2020 May 23. Epub 2020 May 23.

Cardiac anesthesia, KIMS, Trivandrum, India.

Aortic injuries are notoriously lethal particularly when associated with concomitant injuries. We describe the evaluation and management of a polytrauma patient with transverse arch transection which was complicated by dissection of both common carotid arteries. He was managed with aortic arch replacement and reimplanatation of innominate and left common carotid arteries with an additional graft from ascending aorta to the right common carotid artery. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2020.04.024DOI Listing

Early Multicenter Experience With the Neuroform Atlas Stent: Feasibility, Safety, and Efficacy.

Neurosurgery 2020 May 26. Epub 2020 May 26.

Department of Neurosurgery, Thomas Jefferson University and Jefferson Hospital for Neuroscience, Philadelphia, Pennsylvania.

Background: The Neuroform Atlas stent™ (by Stryker, Fremont, California) represents the most recent widely available upgrade to intracranial stenting, providing a laser cut open cell stent with a diameter of 3.0 to 4.5 mm that is delivered through an 0. Read More

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http://dx.doi.org/10.1093/neuros/nyaa143DOI Listing

Efficacy of intraarterial superselective indocyanine green videoangiography in cerebral arteriovenous malformation surgery in a hybrid operating room.

J Neurosurg 2020 May 22:1-9. Epub 2020 May 22.

1Department of Neurosurgery, Tokushima University Hospital, Tokushima.

Objective: Although intravenous indocyanine green (ICG) videoangiography has been reported to be useful when applied to cerebral arteriovenous malformation (AVM) surgery, the ICG that remains after the procedure makes it difficult to understand the anatomy, to evaluate nidus blood flow changes, and to repeat ICG videoangiography within a short time. Intraarterial ICG videoangiography has emerged as a way to overcome these limitations. The current study presents the results of intraarterial ICG videoangiography undertaken in patients with cerebral AVMs. Read More

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http://dx.doi.org/10.3171/2020.3.JNS20319DOI Listing

Surgical thromboendarterectomy for free-floating thrombus associated with cervical carotid artery dissection: A case report.

Ann Vasc Surg 2020 May 18. Epub 2020 May 18.

Department of Neurosurgery, Kobe University Graduate School of Medicine, Hyogo, Japan.

Background: Free-floating thrombus (FFT) of the cervical carotid artery is a rare but critical condition leading to stroke. The most common underlying pathology is atherosclerotic plaque; non-atherosclerotic pathologies are much rarer. Here we report a case of FFT associated with cervical carotid artery dissection that was successfully treated by surgical thromboendarterectomy. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.04.076DOI Listing

Technical Aspects of Branched Thoracic Arch Graft Implantation for Aortic Arch Pathologies.

J Endovasc Ther 2020 May 20:1526602820925443. Epub 2020 May 20.

German Aortic Center Hamburg, Department of Vascular Medicine, University Heart & Vascular Center, University Hospital Hamburg-Eppendorf, Hamburg, Germany.

Purpose: To describe the implantation steps and tips and tricks for the Inner Branch Arch Endograft designed to treat aortic arch aneurysm and chronic type A aortic dissection.

Technique: Anatomical suitability criteria should be met in order to use this device. The proximal segment of the graft lands in the ascending aorta distally to the sinotubular junction and the distal segment lands in the descending aorta. Read More

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http://dx.doi.org/10.1177/1526602820925443DOI Listing

Postintravenous immunoglobulin stroke in a toddler with Down syndrome: a diagnostic challenge.

BMJ Case Rep 2020 May 18;13(5). Epub 2020 May 18.

Department of Paediatrics, Penang General Hospital, Georgetown, Pulau Pinang, Malaysia.

Children with Down syndrome have a higher risk of stroke. Similarly, intravenous immunoglobulin (IV Ig) is also known to cause a stroke. We reported a 3-year-old boy with Down syndrome who presented with severe pneumonia and received IV Ig. Read More

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http://dx.doi.org/10.1136/bcr-2019-233149DOI Listing

Modified Distal Aortic Arch Occlusion During Aortic Arch Replacement.

Heart Lung Circ 2020 May 8. Epub 2020 May 8.

Department of Cardiothoracic Surgery, The Second Affiliated Hospital of Nanchang University, Nanchang, Jiangxi Province, People's Republic of China. Electronic address:

Background: Circulatory arrest has been identified as an independent risk factor related to postoperative mortality in patients with Stanford type A aortic dissection. This study described a modified technique for distal aortic arch occlusion that markedly shortened the circulatory arrest time. The early results are encouraging. Read More

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http://dx.doi.org/10.1016/j.hlc.2020.03.016DOI Listing

Spontaneous Carotid Artery Dissection Presenting as Trigeminal Neuralgia in the Emergency Department.

Clin Pract Cases Emerg Med 2020 May 14;4(2):255-258. Epub 2020 Apr 14.

Midwestern University, Chicago College of Osteopathic Medicine, Department of Emergency Medicine, Downers Grove, Illinois.

Introduction: Carotid artery dissection (CAD) is a critical diagnosis in the emergency department (ED). Trigeminal neuralgia, while not uncommon, may cause the patient significant discomfort but generally is not attributed to severe morbidity and mortality.

Case Report: We present a case of spontaneous CAD presenting with the classic intermittent "lightning-like" jaw and head pain suggestive of trigeminal neuralgia that was ultimately diagnosed utilizing computed tomography angiogram after multiple visits to the ED. Read More

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http://dx.doi.org/10.5811/cpcem.2020.1.44664DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220000PMC

An Updated Systematic Review and Meta-Analysis of Results of Transcervical Carotid Artery Stenting with Flow Reversal.

J Vasc Surg 2020 May 15. Epub 2020 May 15.

Department of Vascular Surgery, "Attikon" University Hospital, National and Kapodistrian University of Athens, Athens, Greece.

Objective: Transcervical carotid artery stenting (CAS) has emerged as an alternative to transfemoral CAS. An earlier systematic review from our group (n = 12 studies; 739 transcervical CAS procedures [489/739 with flow reversal]) demonstrated that transcervical CAS is a safe procedure associated with a low incidence of stroke and complications. Since then, new studies have been published adding nearly 1,600 new patients to the literature. Read More

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http://dx.doi.org/10.1016/j.jvs.2020.04.501DOI Listing

Clipping of Complex Internal Cerebral Artery Terminus Aneurysm: 2-Dimensional Operative Video.

Oper Neurosurg (Hagerstown) 2020 May 18. Epub 2020 May 18.

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

Internal carotid artery (ICA) bifurcation, or terminus, aneurysms are uncommon, and although they can be accessed with relative ease, clip occlusion of such aneurysms is often challenging due to the close proximity of basal forebrain perforator vessels. This patient had an incidentally discovered ICA terminus aneurysm and elected for microsurgical clipping. A modified orbitozygomatic approach was used to approach the aneurysm. Read More

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http://dx.doi.org/10.1093/ons/opaa126DOI Listing

Tetraplegia after branched frozen elephant trunk implantation for acute type A aortic dissection.

J Card Surg 2020 May 17. Epub 2020 May 17.

Cardiovascular Surgery Department, Hôpital Européen Georges Pompidou, Université de Paris, Paris, France.

A 58-year-old male patient presented with acute type A aortic dissection. Complete arch and ascending aorta replacement were performed using a Thoraflex Hybrid prosthesis. The left subclavian artery was ligated and the remaining supra-aortic trunks were reimplanted using the branches of the prosthesis. Read More

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http://dx.doi.org/10.1111/jocs.14623DOI Listing

Two-Stage Redo Aortic Arch Repair in a Patient With an Isolated Left Vertebral Artery.

Innovations (Phila) 2020 May 15:1556984520922985. Epub 2020 May 15.

6915 Department of Cardiovascular Surgery, Mayo Clinic, Rochester, MN, USA.

A 47-year-old male presented with an enlarging distal aortic arch false lumen 6 months status post ascending and hemiarch replacement with antegrade endograft insertion for acute type A aortic dissection complicated by lower body malperfusion. Preoperative computed tomographic angiography showed an isolated but dominant left vertebral artery. A 2-stage open surgical repair was performed. Read More

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http://dx.doi.org/10.1177/1556984520922985DOI Listing

Direct carotid puncture in acute ischaemic stroke intervention.

Stroke Vasc Neurol 2020 29;5(1):71-79. Epub 2020 Jan 29.

Neurologic Surgery, Mayo Clinic, Rochester, Minnesota, USA.

Endovascular intervention for acute ischaemic stroke care is mostly performed in older patients, often with unfavourable aortic and supra-aortic anatomy, as well as cardiovascular comorbidities. A significant subset of them may benefit from transcervical access as the initial approach for mechanical thrombectomy. In fact, direct carotid artery puncture in these cases has the advantage to bypass the anatomical obstacles and achieve faster reperfusion. Read More

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http://dx.doi.org/10.1136/svn-2019-000260DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7213516PMC
January 2020

Carotid artery stenting before surgery for carotid artery occlusion associated with acute type A aortic dissection: Two case reports.

Interv Neuroradiol 2020 May 12:1591019920925690. Epub 2020 May 12.

Department of Neurosurgery, Kobe City Medical Center General Hospital, Kobe, Japan.

Background: We experienced two cases of ischemic stroke resulting from carotid artery occlusion associated with acute type A aortic dissection (ATAAD), in which carotid artery stenting before the surgery for ATAAD resulted in good clinical outcomes. A 63-year-old woman was hospitalized for conscious disturbance, right hemiparesis, and total aphasia. Computed tomography of the head showed no abnormal findings. Read More

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http://dx.doi.org/10.1177/1591019920925690DOI Listing

Giant pseudoaneurysm of the innominate artery late after surgical repair of type-A aortic dissection.

J Card Surg 2020 May 4. Epub 2020 May 4.

Department of Vascular Surgery, Vascular Surgery Unit, IRCCS Policlinico San Donato Milanese, Milan, Milan, Italy.

A 49-year-old man was admitted to our department 6 months after emergent surgery for type-A acute aortic dissection. A chest computed tomography-scan revealed a huge aneurysm originating from the proximal aortic arch, strongly adherent to the upper part of the sternum. Extracorporeal circulation was instituted first, and chest was reopened in circulatory arrest. Read More

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http://dx.doi.org/10.1111/jocs.14612DOI Listing

Clipping of Basilar and Middle Cerebral Artery Aneurysms: 2-dimensional operative video.

Oper Neurosurg (Hagerstown) 2020 May 4. Epub 2020 May 4.

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

Careful preoperative planning for patients with multiple intracranial aneurysms is paramount given the importance of an appropriate trajectory and exposure for each aneurysm that will be clipped. The general principle is to clip aneurysms in a retrograde manner, such that more distal aneurysms are clipped earlier, and more superficial aneurysms are clipped later. This patient had unruptured middle cerebral artery (MCA) and basilar artery (BA) apex aneurysms and elected for surgical clipping of both lesions. Read More

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http://dx.doi.org/10.1093/ons/opaa116DOI Listing

Treatment of unusually located traumatic intracranial aneurysms and severe vasospasm following a gunshot wound to the head: A case report.

Surg Neurol Int 2020 28;11:57. Epub 2020 Mar 28.

Department of Neurosurgery, University of New Mexico Hospital, Albuquerque, New Mexico, United States of America.

Background: Traumatic intracranial aneurysms (TICAs) represent up to 1% of all intracranial aneurysms. They can be the result of non-penetrating and penetrating brain injury (PBI). Approximately 20% of TICA are caused by PBI. Read More

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http://dx.doi.org/10.25259/SNI_573_2019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7193207PMC

Horner Syndrome Due To Internal Carotid Artery Dissection With Normal Vascular Imaging: A Radiological Conundrum.

J Neuroophthalmol 2020 Apr 29. Epub 2020 Apr 29.

Departments of Ophthalmology (SAM, KYW, MBH, JJC, MTB) and Radiology (LJE), Mayo Clinic College of Medicine, Rochester, Minnesota; Department of Psychiatry (JAVL), St. Elizabeth's Medical Center, Wabasha, Minnesota; and Department of Neurology (JJC, MTB), Mayo Clinic College of Medicine, Rochester, Minnesota.

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http://dx.doi.org/10.1097/WNO.0000000000000981DOI Listing

Endovascular Aortic Repair After Proximal Stent Graft Migration of a Modified Frozen Elephant Trunk.

Innovations (Phila) 2020 Mar/Apr;15(2):169-172

6429 Department of Cardiothoracic Surgery, Stanford University, CA, USA.

We describe the endovascular repair for a proximal endograft migration following a modified frozen elephant trunk (mFET) repair for a retrograde type A dissection (retro-A AD). A 40-year-old man presented with a type B aortic dissection that progressed to a retro-A AD. He was emergently taken to the operating room for an mFET repair. Read More

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http://dx.doi.org/10.1177/1556984520902839DOI Listing

Facial twitching: calcium or concussion conundrum? Hypocalcaemia in a young American football player masking an internal carotid artery dissection.

BMJ Case Rep 2020 Apr 28;13(4). Epub 2020 Apr 28.

Diabetes and Endocrinology, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK.

A 30-year-old male American football player presented to the acute medical unit with left-hand and hemifacial spasms. History and examination revealed hemifacial spasms in keeping with seizure-like activity possibly due to symptomatic hypocalcaemia. Subsequent investigations revealed an adjusted calcium of 1. Read More

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http://dx.doi.org/10.1136/bcr-2019-231506DOI Listing

Lymph node metastasis in the space between the right carotid artery and jugular vein in papillary thyroid carcinoma.

J Int Med Res 2020 Apr;48(4):300060520920036

Department of Head and Neck Surgery, The Affiliated Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, ZheJiang, P.R. China.

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http://dx.doi.org/10.1177/0300060520920036DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7221171PMC

Rosai-Dorfman Disease and Unusual Local Invasive Presentation.

Cureus 2020 Mar 19;12(3):e7328. Epub 2020 Mar 19.

Surgical Oncology, Herbert Wertheim College of Medicine, Florida International University, Miami, USA.

Rosai-Dorfman disease (RDD) is a rare medical condition with bilateral painless lymphadenopathy. We present the case of a young man diagnosed with a very unique presentation of Rosai-Dorfman disease. A 40-year-old African-American man presented with a firm, non-tender, progressive chest and neck mass appeared three months ago. Read More

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http://dx.doi.org/10.7759/cureus.7328DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7164721PMC

Applicability of a standardized thoracic endograft with a single branch for the left subclavian artery to treat aortic disease involving the distal arch.

J Vasc Surg 2020 Apr 6. Epub 2020 Apr 6.

Aortic Centre, Groupe Hospitalier Paris Saint Joseph, Hôpital Marie Lannelongue, Le Plessis Robinson, Université Paris Saclay, Le Plessis-Robinson, France. Electronic address:

Objective: Coverage of the left subclavian artery (LSA) origin during thoracic endovascular aortic repair (TEVAR) is associated with increased neurologic complications. Our group is involved in the development of an off-the-shelf (OTS) thoracic endograft incorporating a left common carotid artery (LCCA) scallop and a retrograde inner branch for LSA perfusion. This study aimed to evaluate the arch morphology of patients treated by TEVAR and requiring LSA coverage to determine the applicability of this OTS device. Read More

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http://dx.doi.org/10.1016/j.jvs.2020.02.011DOI Listing

Hybrid Repair of Distal Aortic Arch Dissection Aneurysm With Dissected Kommerell Diverticulum.

Vasc Endovascular Surg 2020 May;54(4):375-377

Vascular Unit, 1st University Surgical Department, Aristotle University, Papageorgiou General Hospital, Thessaloniki, Greece.

Aberrant right subclavian artery (ARSA) with associated Kommerell diverticulum (KD) is a rare congenital aortic arch anomaly. Patients with KD have a high risk of rupture, dissection, compression of adjacent structures, as well as distal embolization symptoms. Several treatment options have been proposed (surgical, hybrid, endovascular), however, a consensus regarding optimal surgical management has not been established yet. Read More

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http://dx.doi.org/10.1177/1538574420911261DOI Listing

Long-Term Outcome of Chimney Technique Using a Balloon-Expandable Bare-Metal Stent to Preserve Supra-Arch Branches in Type B Aortic Dissection.

Vasc Endovascular Surg 2020 May;54(4):333-340

Department of Vascular and Endovascular Surgery, Chinese PLA General Hospital, Beijing, China.

Purpose: This study was performed to investigate the long-term effect of chimney technique using balloon-expandable bare-metal stents (BMSs) to preserve the supra-arch branches in type B aortic dissection (TBAD).

Methods: Fifty patients with TBAD treated by thoracic endovascular aortic repair with the chimney technique (chTEVAR) using balloon-expandable BMSs from July 2009 to December 2013 were retrospectively assessed. Follow-up computed tomography angiography was performed to assess the postoperative outcomes. Read More

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http://dx.doi.org/10.1177/1538574420912356DOI Listing

Resection of Internal Carotid Artery Aneurysm Under Neuroprotection With Flow Reversal Technique.

Vasc Endovascular Surg 2020 May;54(4):378-381

Department of Surgery, Inova Fairfax Medical Campus, Falls Church, VA, USA.

Extracranial internal carotid artery (ICA) aneurysms account for <1.0% all aneurysms and a rare indication for carotid intervention. Causes include atherosclerotic degeneration, trauma, dissection, previous carotid surgery, connective tissue disorders, and infection. Read More

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http://dx.doi.org/10.1177/1538574420911510DOI Listing

Clinical outcomes of mechanical thrombectomy following intravenous administration of recombinant tissue-type plasminogen activator for basilar artery occlusion.

Clin Neurol Neurosurg 2020 Mar 19;194:105796. Epub 2020 Mar 19.

Department of Neurology, Saitama Medical University International Medical Center, 1397-1, Yamane, Hidaka, Saitama, Japan. Electronic address:

Objective: Mechanical thrombectomy (MT) following intravenous administration of recombinant tissue-type plasminogen activator (IV-rt-PA) is considered an effective treatment for the occlusion of the internal carotid artery or the M1 segment of the middle cerebral artery. However, its efficacy in treating basilar artery (BA) occlusion is still unclear. In order to evaluate the efficacy of MT in treating BA occlusion, we aimed to analyzed the clinical outcomes of those patients who had undergone MT following IV-rt-PA administration. Read More

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http://dx.doi.org/10.1016/j.clineuro.2020.105796DOI Listing

Clinical features and prognosis of patients with spontaneous coronary artery dissection.

Int J Cardiol 2020 Mar 20. Epub 2020 Mar 20.

Brigham and Women's Hospital Heart & Vascular Center, Harvard Medical School, Boston, MA, USA. Electronic address:

There have been inconsistent reports regarding the clinical features and characteristics of patients diagnosed with spontaneous coronary artery dissection (SCAD). In addition, predictors of mortality in SCAD patients are unknown. We evaluated the prevalence, clinical characteristics, medical management, and predictors of in-hospital mortality of SCAD-related hospitalizations using data from a single health care system from January 1, 2008, to December 31, 2018. Read More

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http://dx.doi.org/10.1016/j.ijcard.2020.03.044DOI Listing
March 2020
4.036 Impact Factor

Carotid Endarterectomy Using a Flow-Reversal Technique in the Acute Period: A Novel Approach That May Reduce Intraoperative Cerebral Events.

Ann Vasc Surg 2020 Mar 31. Epub 2020 Mar 31.

Vascular Unit, Department of Surgery, Medical School, University of Ioannina, Ioannina University Hospital, Ioannina, Greece.

Lesion manipulation during internal carotid artery (ICA) surgical dissection is the most crucial stage of carotid endarterectomy (CEA); a friable part of the carotid plaque or a thrombus may detach from the arterial wall, leading to cerebral embolism. Proximal protection devices used in carotid artery stenting reverse the blood flow to the brain eliminating, at least after their deployment, the chance of cerebral embolism. Based on the working principle of these devices, we propose a new approach to CEA making use of a flow-reversal technique, and we report its successful application in 2 high-risk patients with a soft and friable type 4 ICA plaque: a 62-year-old male patient presenting with crescendo transient ischemic attacks and a 61-year-old male patient presenting with a major stroke. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.03.028DOI Listing
March 2020
1.029 Impact Factor

Association of aberrant subclavian arteries with aortic pathology and proposed classification system.

J Vasc Surg 2020 Mar 29. Epub 2020 Mar 29.

Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, Calif. Electronic address:

Objective: Aberrant subclavian artery (aSCA) is a rare anatomic variant whose association with other aortic branch variations and aortic pathology has yet to be established. Knowledge of such an association could be relevant to recommendations for screening and awareness as associated variations are important for operative planning. We describe the incidence of aSCA variations, its association with aortic pathology, and a proposed classification system. Read More

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http://dx.doi.org/10.1016/j.jvs.2020.01.042DOI Listing

Moderate hypothermia with remote ischaemic preconditioning improves cerebral protection compared to deep hypothermia: a study using a surviving porcine model.

Eur J Cardiothorac Surg 2020 Apr 1. Epub 2020 Apr 1.

Research Unit of Surgery, Anaesthesia and Intensive Care, University of Oulu, Medical Research Center, Oulu, Finland.

Objectives: The optimal temperature management of hypothermic circulatory arrest is still controversial. Moderate hypothermia preserves cerebral autoregulation and shortens cardiopulmonary bypass (CPB) duration. However, moderate hypothermia alone has inferior organ protection to deep hypothermia, so adjuncts that increase the ischaemic tolerance are needed. Read More

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http://dx.doi.org/10.1093/ejcts/ezaa065DOI Listing

Drug-Eluting Balloon Angioplasty for In-Stent Restenosis Following Carotid Artery Stent Placement.

J Neuroimaging 2020 May 30;30(3):267-275. Epub 2020 Mar 30.

Department of Neurology, University of Missouri, Columbia, MO.

Background And Purpose: Drug-eluting balloons (DEBs) have been proposed as an option for the treatment of in-stent restenosis (ISR) following carotid artery stent placement. We report our experience and review of literature to provide additional data.

Methods: For literature review, PubMed search was conducted to identify studies published between 2005 and 2019, reporting data on management of carotid ISR with DEBs. Read More

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http://dx.doi.org/10.1111/jon.12706DOI Listing

Propensity-Matched Outcomes of Transcarotid Artery Revascularization Versus Carotid Endarterectomy.

J Surg Res 2020 Mar 26;252:22-29. Epub 2020 Mar 26.

Division of Vascular Surgery, Department of Surgery, Indiana University School of Medicine, Indianapolis, Indiana. Electronic address:

Background: Transcarotid artery revascularization (TCAR) with cerebral flow reversal is an emerging treatment option for carotid artery stenosis in patients with high risk for traditional endarterectomy. The purpose of this study was to compare real-world, procedure-related outcomes in similarly comorbid patients undergoing TCAR or carotid endarterectomy (CEA).

Methods: A retrospective review of all patients receiving either TCAR or CEA outside of clinical trial regulations at our institution was performed. Read More

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http://dx.doi.org/10.1016/j.jss.2019.12.003DOI Listing

Carotid Artery Dissection Induced Acute Tongue Swelling in a Cocaine User.

Psychopharmacol Bull 2020 Mar;50(1):44-47

Siniscalchi, Department of Neurology and Stroke Unit, "Annunziata" Hospital, Cosenza, Italy. Perrotta, Department of Neuroradiology, "Annunziata" Hospital, Cosenza, Italy. Lochner, Department of Neurology, Saarland University Medical Center, Homburg, Germany. Gallelli, Chair of Pharmacology, Department of Health Science, School of Medicine, University of Catanzaro, Clinical Pharmacology Unit, Mater Domini University Hospital, Catanzaro, Italy.

Carotid artery dissection represents a well-recognized cause of hypoglossal nerve paralysis even if it is less known the cause of acute tongue swelling. We report a 42-year old men who presented to our observation with acute tongue swelling and atrophy of left side of tongue from a hypoglossal nerve injury. A magnetic resonance imaging revealed a denervation of the left half of the tongue from a hypoglossal nerve injury due to left extracranial internal carotid artery (ICA) dissection, without evidence of ischemic stroke. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093722PMC

Eagle Syndrome and Internal Carotid Artery Dissection: Description of Five Cases Treated in Two Italian Institutions and Review of the Literature.

Ann Vasc Surg 2020 Mar 20. Epub 2020 Mar 20.

Department of Vascular and Endovascular Surgery, Galliera Hospital, Genoa, Italy.

Eagle syndrome is a rare pattern of symptoms (0.16% of the general population) due to the conflict with adjacent anatomical structures by an elongated styloid process or a calcified stylohyoid ligament; 2 variants of this condition have been described in the literature, classical and vascular. The classical form is caused by compression of the glossopharyngeal nerve and the surrounding structures from an abnormal stylohyoid apparatus, causing odynophagia and neck pain and is usually treated by an otorhinolaryngologist. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.02.033DOI Listing
March 2020
1.029 Impact Factor

A unique temporary collateral pathway between carotid-vertebrobasilar arteries in a carotid dissection patient.

BMC Neurol 2020 Mar 17;20(1):97. Epub 2020 Mar 17.

Departments of Neurology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, Shandong, 264000, People's Republic of China.

Background: In adults, the anastomosis between carotid and vertebrobasilar arteries is usually the posterior communicating artery, sometimes the primitive trigeminal artery. In this case, the basilar artery fed the internal carotid artery through the pontine-to-tentorial artery anastomosis after severe stenosis from traumatic carotid dissection.

Case Presentation: A 32-year-old female was diagnosed with ischemic stroke caused by traumatic carotid artery dissection. Read More

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http://dx.doi.org/10.1186/s12883-020-01651-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7076917PMC

Beyond plaque: A pictorial review of non-atherosclerotic abnormalities of extracranial carotid arteries.

J Neuroradiol 2020 Mar 10. Epub 2020 Mar 10.

Mayo Clinic, Department of Neuroradiology, Rochester, MN, USA.

The common carotid artery (CCA) and extracranial internal carotid artery are subject to a wide variety of non-atheromatous pathologies. These entities are often overshadowed in both research and clinical realms by atherosclerotic disease. Nevertheless, non-atherosclerotic disease of the carotid arteries may have profound, even devastating, neurologic consequences. Read More

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http://dx.doi.org/10.1016/j.neurad.2020.02.003DOI Listing

Pneumothorax, pneumomediastinum, and dysphonia complicating awake transcarotid artery revascularization.

J Vasc Surg Cases Innov Tech 2020 Mar 3;6(1):133-135. Epub 2020 Mar 3.

Division of Vascular Surgery, Vanderbilt University Medical Center, Nashville, Tenn.

A 59-year-old woman presented with advanced, symptomatic carotid artery stenosis in the setting of severe medical comorbidities including coronary artery disease, congestive heart failure with recent admission for exacerbation, and diabetes mellitus. She underwent awake transcarotid artery revascularization because of her medically high-risk status. Postoperatively, she was noted to have developed pneumothorax, pneumomediastinum, and dysphonia, thought to be secondary to entrained air during the course of low neck dissection for carotid artery exposure in the setting of partial airway obstruction and high negative intrathoracic pressures during the procedure. Read More

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http://dx.doi.org/10.1016/j.jvscit.2020.01.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7056610PMC

Cervical Vertebral Artery to Facial Branch External Carotid Artery Bypass: 2-Dimensional Operative Video.

Oper Neurosurg (Hagerstown) 2020 Jun;18(6):E224-E225

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

Posterior circulation ischemia often presents with dizziness, ataxia, visual disturbances, or motor-sensory deficits. The vertebral artery stenosis most frequently involves the V1 segment proximal to the foraminal segment. This patient demonstrated critical stenosis of the left V1 segment of the vertebral artery related to atherosclerotic disease. Read More

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http://dx.doi.org/10.1093/ons/opaa028DOI Listing

Spontaneous extracranial arterial dissections in a case of patient with osteogenesis imperfecta.

Int J Neurosci 2020 Mar 13:1-5. Epub 2020 Mar 13.

Northern Jiangsu People's Hospital, Jiangsu, China.

Osteogenesis imperfecta (OI), also known as brittle bone disease, is an inherited disease characterized by increased bone brittleness and decreased bone mass. OI patients may also be associated with exoskeleton manifestations such as hearing loss, articular ligament laxity, and heart valve lesions. Reports of internal carotid and cerebral artery dissection related to OI patients are very rare. Read More

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http://dx.doi.org/10.1080/00207454.2020.1739674DOI Listing

A Case of Late Diagnosis of Acute Aortic Dissection Involving the Carotid Arteries in a Patient Presenting with Signs of Acute Ischemic Stroke.

Am J Case Rep 2020 Mar 5;21:e919271. Epub 2020 Mar 5.

Department of Emergency Medicine, Jamaica Hospital Medical Center, Queens, NY, USA.

BACKGROUND Acute aortic dissection (AAD) is a rare but life-threatening condition with high mortality. The Stanford classification of aortic dissection includes type A, which originates in the ascending aorta, and type B, which originates in the descending aorta. The diagnosis may be missed due to its ability to mimic other more common cardiovascular conditions. Read More

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http://dx.doi.org/10.12659/AJCR.919271DOI Listing

Carotid Artery Stenting for the Treatment of Fatal Acute Cerebral Infarction Associated with Aortic Dissection.

Neurol India 2020 Jan-Feb;68(1):185-188

Affiliated Bayi Brain Hospital, The Seventh Medical Center of PLA General Hospital, Beijing, China.

Acute aortic dissection (AAD) complicated with acute cerebral infarction lacks a unified treatment plan. We report probably the most effective treatment of a type A AAD with acute cerebral infarction leading to coma. A 43-year-old man presented with acute hemiplegia and unconsciousness. Read More

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http://dx.doi.org/10.4103/0028-3886.279679DOI Listing

Non-invasive visualization of arterial stagnation in a dissected internal carotid artery.

J Neurol Sci 2020 May 24;412:116760. Epub 2020 Feb 24.

Department of Neurology, Yokohama Rosai Hospital, 3211 Kodukue-cho, Kohoku-ku, Yokohama, Kanagawa 222-0036, Japan.

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http://dx.doi.org/10.1016/j.jns.2020.116760DOI Listing

Temporal bone resection for lateral skull-base malignancies.

J Neurooncol 2020 Feb 27. Epub 2020 Feb 27.

Department of Head and Neck Surgery, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA.

Introduction: Malignancies involving the temporal bone are increasingly common and require specialized multi-disciplinary care. Given this complex location, involvement of the lateral skull base and local neurovascular structures is common. In this review we discuss general principles for temporal bone resection, as well as alternative and complementary surgical approaches that should be considered in the management of patients with temporal bone cancer. Read More

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http://dx.doi.org/10.1007/s11060-020-03445-4DOI Listing
February 2020