Carotid-Carotid Bypass Graft for Internal Carotid Artery Kinking Causing Dysphagia

Stilo, Francesco; Catanese, Vincenzo; Casale, Manuele; Bernardini, Silvia; Montelione, Nunzio; Spinelli, Francesco

doi:10.1016/j.avsg.2017.01.015

Cited by 6 publications

(4 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As a result of the analysis in this study of all the items of EAT-10, it was seen that patients with PAICA experienced most problems swallowing solid food. Ozturk et al [14], Stilo et al [22], and Antunes et al [23] reported three separate PAICA cases with dysphagia. Consistent with the current study findings, those case reports also stated that patients had problems swallowing solid foods.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Oropharyngeal Dysphagia in Elderly Patients with Pharyngeal Aberrant Internal Carotid Artery Using the Eating Assessment Tool-10 (EAT-10)

et al. 2021

View full text Add to dashboard Cite

Pharyngeal aberrant internal carotid artery (PAICA) has been reported to be a cause of oropharyngeal dysphagia (OD) in case reports. However, as there have been no clinical studies, the relationship between PAICA and OD is not clear. The aim of this study was to investigate the perception of OD in elderly PAICA patients using the Eating Assessment Tool-10 (EAT-10). A study group (Group 1) was formed of patients diagnosed with PAICA from the visualization of a pulsatile mass in the pharynx in flexible fiberoptic endoscopic examination and carotid magnetic resonance angiography tests, and a control group (Group 2) was formed of age-matched healthy volunteers. The study group was subdivided as patients with unilateral PAICA (Group 1a) and patients with bilateral PAICA (Group 1b). The Turkish version of the EAT-10 was applied to all the participants. Total EAT-10 points of ≥ 3 were accepted as abnormal. Normal (< 3) and abnormal (≥ 3) total EAT-10 points were determined in 88.9% (24/27) and 11.1% (3/27), respectively, of the control group, in 55.2% (16/29) and 44.8% (13/29) of Group 1, in 70.6% (12/17) and 29.4% (5/17) of Group 1a, and in 33.3% (4/12) and 66.7% (8/12) of Group 1b. A statistically significant difference was determined between the control group and Group 1 and Group 1b in respect of abnormal (≥ 3) EAT-10 total points (p = 0.007, p = 0.001, respectively). No statistically significant difference was determined between the control group and Group 1a (p = 0.227). Problems (EAT point ≥ 1) in item 4 (swallowing solids takes extra effort) were experienced by 13 (44.8%) patients in Group 1, 9 (75%) patients in Group 1b, and 5 (18.5%) subjects in the control group (p < 0.05). These results demonstrated that unilateral PAICA does not significantly affect swallowing, whereas bilateral PAICA created a significant negative effect. These patients experience more problems when swallowing solid food.

show abstract

Section: Discussionmentioning

confidence: 99%

Evaluation of Oropharyngeal Dysphagia in Elderly Patients with Pharyngeal Aberrant Internal Carotid Artery Using the Eating Assessment Tool-10 (EAT-10)

et al. 2021

View full text Add to dashboard Cite

show abstract

“…In humans, until 1950, the treatment of choice was ligation, but nowadays, it is used only when reconstruction is not possible. Surgical treatment consists of open resection of the aneurysm and curved part with or without arterial replacement with interposition of a graft or stent (El‐Sabrout & Cooley, 2000; Koge et al, 2018; Koketsu et al, 2021; Larson et al, 1995; Lin et al, 2000; Stilo et al, 2017). The latest deemed due to its anatomic location, not to be an option in the equine.…”

Section: Discussionmentioning

confidence: 99%

“…A morphologically anomalous course of the parapharyngeal internal carotid artery (ICA) is a rare condition in humans that seldom causes clinical symptoms, but may result in dysphonia, dysphagia, pharyngeal pressure, or intraoral pulsations (Abel van et al, 2013; Galletti et al, 2002; Pfeiffer & Ridder, 2008; Stilo et al, 2017). Normally, the ICA has a straight course and variations are classified according to the anatomic patterns described as tortuosity, coiling (curved), and kinking (Paulsen et al, 2000; Weibel & Fields, 1965), depending on the degree of bending.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Neurologic deficits and surgical treatment in a horse affected with internal carotid artery tortuous elongation

Rijkenhuizen,

Kaske,

Rikart

et al. 2023

Equine Veterinary Education

View full text Add to dashboard Cite

SummaryA 2‐year‐old Warmblood gelding was presented with a history of bilateral feed material coming from the nostrils secondary to dysphagia, coughing and impairment of physical development, since purchase at 6 months of age. Endoscopy of the right guttural pouch was unremarkable; however, in the left guttural pouch, a distended (aneurysm), pulsating, tortuous elongated internal carotid artery (ICA) was observed. Computed tomography revealed that in the dorsal aspect of the medial compartment of the left guttural pouch adjacent to the jugular foramen, the ICA turned anti‐clockwise creating a small loop of 1 cm diameter. This loop had a faint linear, soft tissue attenuating connection to the caudodorsal wall of the guttural pouch and was slightly larger in diameter compared to the right ICA. A malformation of the left ICA was diagnosed, most likely congenital. A secondary compression and neuropathy of one or multiple nerves of the associated lower cranial nerves in the neurovascular plica (IX, X) was suspected explaining the clinical signs of dysphagia. The slightly larger diameter of the left ICA could represent congestion of the vessel or an early aneurysm formation. Based on these findings, endovascular balloon occlusion (nondetachable balloon) of the left ICA was performed to relief the compression on the affected nerves. The occlusion of the ICA resolved the clinical signs within 7 weeks after surgery.

show abstract

Fibromuscular Dysplasia, Carotid Kinks, and Other Rare Lesions

Kayssi

Mukherjee

2018

Extracranial Carotid and Vertebral Artery Disease

View full text Add to dashboard Cite

Carotid-Carotid Bypass Graft for Internal Carotid Artery Kinking Causing Dysphagia

Cited by 6 publications

References 10 publications

Evaluation of Oropharyngeal Dysphagia in Elderly Patients with Pharyngeal Aberrant Internal Carotid Artery Using the Eating Assessment Tool-10 (EAT-10)

Evaluation of Oropharyngeal Dysphagia in Elderly Patients with Pharyngeal Aberrant Internal Carotid Artery Using the Eating Assessment Tool-10 (EAT-10)

Neurologic deficits and surgical treatment in a horse affected with internal carotid artery tortuous elongation

Fibromuscular Dysplasia, Carotid Kinks, and Other Rare Lesions

Contact Info

Product

Resources

About