Resection and reimplantation of a critically stenosed and 360° coiled internal carotid artery

Resection and reimplantation of a critically stenosed and 360° coiled internal carotid artery.

A 78-year-old man presented with recurrent left hemispheric transient ischaemic attacks. Angiography-wise and intraoperatively extreme internal carotid artery (ICA) coiling was noted with critical stenosis (Figs 1 and 2A). ICA bulb was transected, plaquebearing segment resected and ICA reimplanted onto endarterecomized carotid bifurcation (Fig. 2B). At 1-year follow-up, he is symptom-free with ...

A Penetrating Pellet Jeopardizing Internal Carotid Artery

Coiled distal internal carotid artery (ICA) aneurysm in transcranial sonography

Figure 1. A. Axial brain computed tomography (CT)angiography showing a giant left (Lt) distal internal carotid artery (ICA) aneurysm. B. Axial transcranial sonogram (mesencephalic level): Butterfly-shaped midbrain was encircled for better visualization (solid lines). Arrows indicate the coiled distal ICA aneurysm. He was monitored via daily transcranial sonography (TCS) for the potential develo...

Carotid angioplasty and stenting in a patient with high grade stenosis of Internal Carotid Artery associated with both vertebral arteries and contralateral carotid occlusion

Severe internal carotid artery (ICA) stenosis is a common cause of cerebrovascular accident (CVA) in middle-aged patients. Contralateral carotid occlusion (CCO) in patients with severe ICA stenosis is associated with high risk of CVA. Carotid endarterectomy (CEA) is associated with more complications in patients with CCO than those without CCO. In this study, we present the case of a 61-year-ol...

Internal carotid artery agenesis with stenosed intercavernous anastomosis: a case report

We report a rare case of internal carotid artery agenesis with stenosed intercavernous anastomosis. A 59-year-old male patient presented with a new infarction in the left basal ganglia. Magnetic resonance angiography and cerebral angiography showed that the right internal carotid artery disappeared from the origin to the foramen lacerum segment, and there was an anastomotic artery with severe s...