An Alternative Surgical Procedure for a Patient with Critically Restenosed and Kinked Carotid Artery: Graft Interposition
According to the literature data, the prevalence of restenosis after carotid endarterectomy ranges between 6 and 36%. The etiological factor is intimal hyperplasia for early period, whereas it is atherosclerosis for late period. A 67-year-old male patient admitted to our clinic with a history of hea...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2011/572454 |
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| author | Haydar Yaşa Övünç Aslan Barçın Özcem Muhammet Akyuz Ali Gürbüz Galip Akhan |
| author_facet | Haydar Yaşa Övünç Aslan Barçın Özcem Muhammet Akyuz Ali Gürbüz Galip Akhan |
| author_sort | Haydar Yaşa |
| collection | DOAJ |
| description | According to the literature data, the prevalence of restenosis after carotid endarterectomy ranges between 6 and 36%. The etiological factor is intimal hyperplasia for early period, whereas it is atherosclerosis for late period. A 67-year-old male patient admitted to our clinic with a history of headache and minor stroke. His medical history was significant for right carotid endarterectomy 8 years ago. Recent Doppler ultrasound and digital substraction angiography revealed 75% stenosis and kinking corresponding to the segment distal to the endarterectomy region. Surgical endarterectomy is the treatment of choice in critical carotid stenosis. Endovascular therapy is primarily considered for patients if there is restenosis after carotid endarterectomy. However, the treatment modality is controversial in cases with concomitant carotid stenosis and kinking of internal carotid artery. We present our surgical approach to a case with significant stenosis and kinking of internal carotid artery. We performed a 6-mm-PTFE graft interposition between common and internal carotid artery and resection of the kinking segment. |
| format | Article |
| id | doaj-art-6be01bbc771c461fa204897f8a636c61 |
| institution | OA Journals |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-6be01bbc771c461fa204897f8a636c612025-08-20T02:06:11ZengWileyCase Reports in Surgery2090-69002090-69192011-01-01201110.1155/2011/572454572454An Alternative Surgical Procedure for a Patient with Critically Restenosed and Kinked Carotid Artery: Graft InterpositionHaydar Yaşa0Övünç Aslan1Barçın Özcem2Muhammet Akyuz3Ali Gürbüz4Galip Akhan5Department of Cardiovascular Surgery, Ataturk Training and Research Hospital, Izmir Katip Çelebi University, 35580 Izmir, TurkeyDepartment of Cardiovascular Surgery, Ataturk Training and Research Hospital, Izmir Katip Çelebi University, 35580 Izmir, TurkeyDepartment of Cardiovascular Surgery, Ataturk Training and Research Hospital, Izmir Katip Çelebi University, 35580 Izmir, TurkeyDepartment of Cardiovascular Surgery, Ataturk Training and Research Hospital, Izmir Katip Çelebi University, 35580 Izmir, TurkeyDepartment of Cardiovascular Surgery, Ataturk Training and Research Hospital, Izmir Katip Çelebi University, 35580 Izmir, TurkeyDepartment of Neurology, Ataturk Training and Research Hospital, Izmir Katip Çelebi University, 35580 Izmir, TurkeyAccording to the literature data, the prevalence of restenosis after carotid endarterectomy ranges between 6 and 36%. The etiological factor is intimal hyperplasia for early period, whereas it is atherosclerosis for late period. A 67-year-old male patient admitted to our clinic with a history of headache and minor stroke. His medical history was significant for right carotid endarterectomy 8 years ago. Recent Doppler ultrasound and digital substraction angiography revealed 75% stenosis and kinking corresponding to the segment distal to the endarterectomy region. Surgical endarterectomy is the treatment of choice in critical carotid stenosis. Endovascular therapy is primarily considered for patients if there is restenosis after carotid endarterectomy. However, the treatment modality is controversial in cases with concomitant carotid stenosis and kinking of internal carotid artery. We present our surgical approach to a case with significant stenosis and kinking of internal carotid artery. We performed a 6-mm-PTFE graft interposition between common and internal carotid artery and resection of the kinking segment.http://dx.doi.org/10.1155/2011/572454 |
| spellingShingle | Haydar Yaşa Övünç Aslan Barçın Özcem Muhammet Akyuz Ali Gürbüz Galip Akhan An Alternative Surgical Procedure for a Patient with Critically Restenosed and Kinked Carotid Artery: Graft Interposition Case Reports in Surgery |
| title | An Alternative Surgical Procedure for a Patient with Critically Restenosed and Kinked Carotid Artery: Graft Interposition |
| title_full | An Alternative Surgical Procedure for a Patient with Critically Restenosed and Kinked Carotid Artery: Graft Interposition |
| title_fullStr | An Alternative Surgical Procedure for a Patient with Critically Restenosed and Kinked Carotid Artery: Graft Interposition |
| title_full_unstemmed | An Alternative Surgical Procedure for a Patient with Critically Restenosed and Kinked Carotid Artery: Graft Interposition |
| title_short | An Alternative Surgical Procedure for a Patient with Critically Restenosed and Kinked Carotid Artery: Graft Interposition |
| title_sort | alternative surgical procedure for a patient with critically restenosed and kinked carotid artery graft interposition |
| url | http://dx.doi.org/10.1155/2011/572454 |
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