Endovascular Repair of External Carotid Artery Disease

Kouvelos, George; Koutsoumpelis, Andreas; Klonaris, Chris; Matsagkas, Miltiadis

doi:10.1583/jevt-12-3886r.1

Cited by 7 publications

(12 citation statements)

References 41 publications

(36 reference statements)

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“…23–26) Kouvelos et al reviewed previous 21 reports including 56 patients (58 arteries) describing endovascular treatment of the ECA and identified low rate of perioperative (during the first 30 days) stroke (1.8%) or death (0%) but a high rate of TIAs (8.9%). 27) In their study, there were no delayed cerebrovascular events during the follow-up period of an average of 23.8 months. Restenosis was found in 3.4% and stent occlusion was found 1.7%.…”

Section: Discussionmentioning

confidence: 84%

Vascular Reconstruction for Radiation-induced Bilateral Internal Carotid Artery Occlusion and Unilateral External Carotid Artery Stenosis by a Combination of Surgical and Endovascular Method: Case Report

Taki

Tokime

Matsumoto

et al. 2015

NMC Case Report Journal

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We present a case of a 63-year-old male presenting with right hemiparesis and diagnosed as cerebral infarction. He had a previous history of left pharyngeal carcinoma, which was treated by radial dissection and radiation therapy 10 years before. Magnetic resonance imaging (MRI) showed multiple cerebral infarction in the bilateral cerebral hemisphere, predominantly on the left. Cerebral angiography showed occlusion of bilateral internal carotid arteries and severe stenosis at the orifice of the left external carotid artery (ECA). Single photon emission tomography (SPECT) showed reduced cerebral blood flow and decreased cerebral vascular reserve in the bilateral anterior cerebral artery and left middle cerebral artery territories. He was successfully treated by a combination of carotid stenting for the left ECA and left superficial temporal artery–middle cerebral artery (STA-MCA) anastomosis. He did not have further ischemic symptom for more than 2 years. Radiation-induced carotid vasculopathy often involves multiple arteries and treatment is often complex and difficult. Safer and less invasive treatment strategy should be considered using both endovascular and direct surgery.

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Section: Discussionmentioning

confidence: 84%

Vascular Reconstruction for Radiation-induced Bilateral Internal Carotid Artery Occlusion and Unilateral External Carotid Artery Stenosis by a Combination of Surgical and Endovascular Method: Case Report

Taki

Tokime

Matsumoto

et al. 2015

NMC Case Report Journal

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“…The technical success rate was 98.3%. During the first 30 days after the procedure, 1 (1.8%) stroke was reported, while 5 (8.9%) transient ischemic attacks were also described (12). Endovascular repair of the ECA appears to have low rates of perioperative stroke or death but a high rate of transient ischemic attacks.…”

Section: Discussionmentioning

confidence: 95%

“…Endovascular repair of the ECA appears to have low rates of perioperative stroke or death but a high rate of transient ischemic attacks. The appropriate type of stent and the use of embolic protection need to be established (7,12,13). In our patient, we used the MOMA proximal blockage system and we observed no embolic complications.…”

Section: Discussionmentioning

confidence: 99%

Simultaneous stenting of the ipsilateral external and internal carotid arteries

Durmaz¹,

Bozkurt²,

Ayhan³

et al. 2013

Turk J Med Sci

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Th e rootstock potential of 21 bottle gourds (Lagenaria siceraria) collected from the Mediterranean region (Turkey) was investigated for watermelon with regard to plant growth, yield, and fruit quality. Th e Crimson Tide watermelon cultivar was used as a scion and 2 commercial rootstocks (L. siceraria) were also used for comparison. In greenhouse conditions, the survival rate of graft ed plants and the eff ect of rootstocks on plant growth were determined. Th e graft ed plants were planted under low tunnels in early spring and the eff ects of the rootstocks on early yield, total yield, and fruit quality were evaluated. Th e survival rates of the graft ed plants varied from 83% to 100%. Survival rates of those with commercial rootstocks and local rootstocks were similar. Plants graft ed onto 20-02, 31-09, 31-43, 35-01, and 46-03 were more vigorous than ungraft ed control plants. Compared to the control plants, graft ed plants had 37% to 80% higher plant dry weight. All of the graft ed plants except CT/Macis produced a higher yield than the control plants. Th e plants graft ed onto 6 of the local rootstocks had signifi cantly greater total yields than those graft ed onto the commercial rootstocks. Among the local bottle gourd landraces tested, the 01-16, 07-45, 20-06, 31-09, 31-15, and 46-03 were found to be promising genotypes with regard to total yield. Early yield was not signifi cantly aff ected by rootstock. Th e quality parameters of the fruits harvested from the graft ed and control plants were found to be similar except for a limited number of graft combinations. It was concluded that germplasm from Turkish bottle gourds has a high rootstock potential for watermelon with regard to the investigated parameters.

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“…In this issue of the JEVT , Kouvelos et al 4 summarized the available evidence in the current literature on endovascular treatment of the ECA. The authors included 21 articles comprising a limited 56 patients, of whom only 30 (55%) had a symptomatic presentation.…”

mentioning

confidence: 99%

“…In the Kouvelos review, 4 technical success was reported in 98% of procedures. Although there was no procedural death and only 1 (1.8%) major stroke, an additional 5 (8.9%) transient events occurred.…”

mentioning

confidence: 99%