Carotid Abnormalities and Adenoid Surgery

McKenzie, William; Woolf, Cyril I.

doi:10.1017/s0022215100055766

Cited by 34 publications

(9 citation statements)

References 4 publications

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“…1 This condition is detected in about 5% to 25% of the arteriograms of cervical arteries performed for cerebrovascular symptoms or for the further definition of an incidentally encountered, asymptomatic carotid artery stenosis. [2][3][4][5][6][7][8][9][10] In adult patients with symptoms of cerebrovascular insufficiency, kinking of the ICA is often associated with significant atheroma of carotid bifurcation. Carotid endarterectomy has proven effective for the treatment of stenotic and symptomatic plaques.…”

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confidence: 99%

Revascularization of the Internal Carotid Artery for Isolated, Stenotic, and Symptomatic Kinking

Caliò¹,

Papaspyropoulos²,

Montesano³

et al. 2003

Arch Surg

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The operation for isolated, stenotic, and symptomatic kinking of the internal carotid artery is safe and effective in preventing stroke and relieving the symptoms of cerebral ischemia. Design: A consecutive sample clinical study with a mean follow-up of 44 months. Setting: The surgical department of an academic tertiary care center and an affiliated secondary care center. Patients: Fifty-four patients with a mean age of 67 years underwent 55 revascularizations of the internal carotid artery. The surgical procedures consisted of the following: shortening and reimplantation in the common carotid artery in 36 cases, bypass grafting in 15 cases, and transposition into the external carotid artery in 4 cases. Main Outcome Measures: Cumulative survival, primary patency, and stroke-free and neurologic symptomfree rates expressed by standard life-table analysis. Results: No patients died in the postoperative period. The postoperative stroke rate was 1.8%. The cumulative rates (SEs) at 5 years were as follows: survival, 70% (10.2%); primary patency, 89% (7.8%); overall stroke free, 92% (6.8%); ipsilateral stroke free, 96% (5.3%); neurologic symptom free, 90% (7.5%); and ipsilateral symptom free, 93% (6.5%). Conclusion: Revascularization of the internal carotid artery for the treatment of isolated, stenotic, and symptomatic kinking is safe and effective in preventing stroke and relieving symptoms of cerebrovascular insufficiency.

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confidence: 99%

Revascularization of the Internal Carotid Artery for Isolated, Stenotic, and Symptomatic Kinking

Caliò¹,

Papaspyropoulos²,

Montesano³

et al. 2003

Arch Surg

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“…This suggestion is supported by the finding, that 19 of 31 cases with fatal outcome following TE had occurred at home, despite inpatient observation for several days [ 133 ]. AE is rarely followed by bleeding and fatalities are extremely rare which explains the paucity of literature related to this subject [ 134 ], [ 135 ], [ 136 ], [ 137 ], [ 138 ]. Fatalities following TT have not yet been published and are not to be expected, as long as the dissection is properly performed.…”

Section: Discussionmentioning

confidence: 99%

Malpractice claims and unintentional outcome of tonsil surgery and other standard procedures in otorhinolaryngology

Windfuhr

2013

GMS Current Topics in Otorhinolaryngology - Head and Neck Surgery; 12:Doc08; ISSN 1865-1011

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“…In addition, there are two reports of cases of profuse postadenoidectomy hemorrhage due to laceration of a midline ICA. Mc Kenzie et al described two fatal cases coarsening ICA injuries during adenoidectomy, one of which resulted in complete arterial ablation [ 9 ]. Bergqvist described a visible ICA in the nasopharynx that had not been detected preoperatively but was seen intraoperatively after an adenoidectomy had been performed [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Ectopic internal carotid artery presenting as an oropharyngeal mass

et al. 2008

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Ectopic internal carotid artery (ICA) is a very rare variation. The major congenital abnormalities of the ICA can be classified as agenesis, aplasia and hypoplasia, and they can be unilateral or bilateral. Anomalies of the neck artery may be vascular neoplasms or ectopic position. Carotid angiograms provide absolute confirmation of an aberrant carotid artery, while EcoColorDoppler (ECD) gives also important information about the evaluation of carotid vassels. Nevertheless Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) of the neck provide spatial information about the adjacent pharyngeal anatomy and are less invasive than angiogram. Injuries to the ICA during simple pharyngeal surgical procedures can be catastrophic due to the risk of massive bleeding. We report a case of a 56 year-old male patient suffering from dysphagia associated with aberrant ICA manifesting itself as a pulsative protruding of the left lateral wall of the oropharynx.

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Carotid Abnormalities and Adenoid Surgery

Cited by 34 publications

References 4 publications

Revascularization of the Internal Carotid Artery for Isolated, Stenotic, and Symptomatic Kinking

Revascularization of the Internal Carotid Artery for Isolated, Stenotic, and Symptomatic Kinking

Malpractice claims and unintentional outcome of tonsil surgery and other standard procedures in otorhinolaryngology

Ectopic internal carotid artery presenting as an oropharyngeal mass

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