Retinal Embolus From Extracranial Carotid Artery Aneurysm

McEntyre, James M.; Keates, Edwin U.; Whiteley, W. H.

doi:10.1001/archopht.1967.00980020319005

Cited by 14 publications

(5 citation statements)

References 10 publications

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“…Patients with this kind of aneurysm often show evidence of ischemic cerebrovascular disease in addition to dysphagia, pharyngeal discomfort, and dysgeusia due to space-occupying lesions that compress the lower cranial nerves. [15][16][17] The benefit of early treatment for these aneurysms was confirmed in a long-term observational study, which showed a low incidence of spontaneous remission. 18) Some investigators have reported excision of the aneurysm and end-to-end anastomosis, 3,4) and some investigators have performed endovascular trapping with or without bypass.…”

Section: Resultsmentioning

confidence: 90%

Endovascular Trapping of Both Sides of a Cervical Fusiform Carotid Aneurysm Associated with Marfan Syndrome. Case Report

Ohta

Nakahara

Matsumoto

et al. 2016

JNET

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We report a rare case of cervical internal carotid artery aneurysm associated with Marfan syndrome and the technical details of endovascular trapping. Case Presentations: A 23-year-old male who had been diagnosed with Marfan syndrome presented with dysphagia due to an enlarged left cervical pulsating mass. Imaging studies revealed a non-thrombosed, giant cervical internal carotid fusiform aneurysm measuring approximately 3-4 cm extending to the skull base. After bypass surgery between the superficial temporal artery and the middle cerebral artery, endovascular trapping of the cervical internal carotid artery at both sides of the aneurysm was performed under flow control without positioning any coils inside the aneurysm itself. A 6F distal access catheter technique through the aneurysm and double or triple microcatheter technique were useful for tight and short-length occlusion of the artery combined with a proximal balloon guiding catheter. Dysphagia resolved after treatment due to alleviation of the compression on the recurrent nerve and disappeared completely within 3 weeks. Conclusion: Distal access catheter and multiple microcatheters under proximal flow control can be useful for endovascular trapping of both sides of a cervical fusiform aneurysm.

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Section: Resultsmentioning

confidence: 90%

Endovascular Trapping of Both Sides of a Cervical Fusiform Carotid Aneurysm Associated with Marfan Syndrome. Case Report

Ohta

Nakahara

Matsumoto

et al. 2016

JNET

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“…The vasa vasorum appear to play an important role in giant aneurysm formation 6,7 . Patients with cervical internal carotid artery aneurysms often show evidence of ischemic cerebrovascular disease such as cerebral embolism, in addition to dysphagia, pharyngeal discomfort, and dysgeusia due to space-occupy-ing lesions that compress the lower cranial nerves 3,8,9 . The benefit of early treatment for these aneurysms was confirmed in a long-term observational study that found a low incidence of spontaneous remission 10 .…”

Section: Discussionmentioning

confidence: 99%

Endovascular Trapping for a Giant Aneurysm of the Cervical Internal Carotid Artery: A Case Report

Nakayama¹,

Iwabuchi²,

Hayashi³

et al. 2007

Interv Neuroradiol

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We describe a case of giant cervical internal carotid aneurysm successfully treated by endovascular trapping. A 57-year-old woman with a history of maxillary contusion seven years before presented with pharyngeal discomfort during swallowing. MRI revealed a 4 cm mass in the right parapharyngeal space. A common carotid angiogram revealed a giant aneurysm with a wide neck originating from the cervical internal carotid artery; kinking of the internal carotid artery was noted at a point distal to the carotid bifurcation. Analysis of cerebral blood flow by SPECT during a balloon occlusion test showed no hypoperfusion areas, and the patient underwent endovascular trapping. There were no neurological or other complications after the procedure. A follow-up MRI revealed complete thrombosis of the aneurysm. Our results show that endovascular trapping for pseudoaneurysm of the cervical internal carotid artery can be a reliable and effective treatment in patients who tolerate a balloon occlusion test.

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“…Aneurysms can be a source of plaque or thrombus formation with subsequent dissemination to end arteries of the brain or retina. 24 The decrease in visual acuity in Cases 3 and 4 may have been due to embolization of atheromata or thrombi to the ophthalmic arteries. The patient in Case 5 with diffuse atherosclerotic disease manifested ischemic symptoms from either embolization or from interference with flow in the proximal carotid vessels.…”

Section: Commentmentioning

confidence: 97%

Carotid Artery Aneurysms: An Otolaryngologic Perspective

Lane

Weisman

1980

The Laryngoscope

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Aneurysms of the carotid arteries are relatively rare and can present difficult diagnostic problems. They may occur anywhere along the course of the carotid artery in its cervical route, petrous portion, or intracranial extension. The associated clinical findings may range from a simple neck mass to a variety of neurologic deficits. Symptoms of headache, facial pain, tinnitus, vertigo, epistaxis, hoarseness, and dysphagia may require otolaryngologic evaluation. The high morbidity and mortality associated with the natural history of carotid aneurysms makes their early detection essential. Although these lesions have been a subject of great interest in the neurological and neurosurgical literature, surprisingly little has been written to bring them to the attention of otolaryngologists. A review of the literature and an assessment of 10 cases of extracranial carotid aneurysms treated at the University of Pennsylvania in the past 10 years form the basis of this report. Patients with aneurysms involving various portions of the carotid system are presented to illustrate the numerous head and neck manifestations these lesions produce. Differential diagnosis, etiology, natural history, and current management of carotid aneurysms are discussed.

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Retinal Embolus From Extracranial Carotid Artery Aneurysm

Cited by 14 publications

References 10 publications

Endovascular Trapping of Both Sides of a Cervical Fusiform Carotid Aneurysm Associated with Marfan Syndrome. Case Report

Endovascular Trapping of Both Sides of a Cervical Fusiform Carotid Aneurysm Associated with Marfan Syndrome. Case Report

Endovascular Trapping for a Giant Aneurysm of the Cervical Internal Carotid Artery: A Case Report

Carotid Artery Aneurysms: An Otolaryngologic Perspective

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