Surgical Revascularization of Symptomatic Kinking of the Internal Carotid Artery.
Vasc Endovascular Surg
; 50(7): 470-474, 2016 Oct.
Article
em En
| MEDLINE
| ID: mdl-27681172
ABSTRACT
OBJECTIVE:
To evaluate the safety and outcomes of surgical revascularization for patients with symptomatic kinking of the internal carotid artery (ICA).METHODS:
Twenty-five consecutive patients presented with symptomatic kinking of the ICA and a history of transient ischemic attack (TIA) or stroke were prospectively enrolled in this study. All patients were treated with ICA transection and end-to-side reimplantation at the level of the carotid bulb. Patients were followed up for a median of 32 months.RESULTS:
There were no deaths or strokes within the 30 days of the treatment. No postprocedural thrombosis or narrowing of the ipsilateral ICA was observed. One (4%) patient had temporary recurrent nerve palsy, which was completely recovered at 4-week follow-up. One (4%) patient had a myocardial ischemic event. At the end of the 32-month follow-up, 1 (4%) patient developed ipsilateral minor stroke. No recurrent stenosis was detected by Doppler ultrasound.CONCLUSION:
Surgical treatment for isolated, symptomatic kinking of the ICA and a history of TIA or stroke is safe, and the outcomes are acceptable.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Procedimentos Cirúrgicos Vasculares
/
Artéria Carótida Interna
/
Ataque Isquêmico Transitório
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Estenose das Carótidas
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article