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- Title
Surgical Revascularization of Symptomatic Kinking of the Internal Carotid Artery.
- Authors
Hao, Ji-heng; Zhang, Li-yong; Lin, Kai; Liu, Wei-dong; Zhang, Shi-gang; Wang, Ji-yue; Li, Gang; Wang, Le-Xin
- 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.
- Subjects
CHINA; CAROTID artery surgery; ACADEMIC medical centers; ANGIOGRAPHY; CAROTID artery; COMPUTED tomography; LONGITUDINAL method; PATIENT safety; TREATMENT effectiveness; PRE-tests &; post-tests; REVASCULARIZATION (Surgery); STROKE patients
- Publication
Vascular & Endovascular Surgery, 2016, Vol 50, Issue 7, p470
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/1538574416671246