Posterior Transverse Plication of Tortuous Internal Carotids in Post Stroke Carotid Endarterectomy
Journal Title: Archives in Neurology & Neuroscience (ANN) - Year 2018, Vol 1, Issue 5
Abstract
Background: Post-operative ICA stenosis secondary to an arterial kinking had been documented in patients who had a tortuous ICA. Posterior transverse plication (PTP) is one of the surgical manoeuvres used during CEA for a significantly tortuous ICA to prevent an arterial kinking stenosis after the carotid surgery. Aim of the study: To highlight the role of PTP in the management of a tortuous ICA and preventing the stenosis from an ICA kinking during CEA. Methods: We reviewed retrospectively six consecutive patients with symptomatic carotid disease who underwent the PTP during CEA in the presence of a significantly tortuous ICA. Results: One female and 5 males with a median age of 67 years (range: 65 to 78) years underwent the surgery. None developed any neurological event and post-operative scan did not show any ICA thrombosis or stenosis from an ICA kinking after a median follow-up of 6 months (range: 5 to 17). Conclusion: We believe that PTA of ICA during CEA is an easy, simple procedure and safe surgical technique with potential benefits in the presence of a significantly tortuous ICA.
Authors and Affiliations
Keywords
Related Articles
- EP ID EP619993
- DOI 10.33552/ANN.2018.01.000521
- Views 56
- Downloads 0
Posterior Transverse Plication of Tortuous Internal Carotids in Post Stroke Carotid Endarterectomy
Background: Post-operative ICA stenosis secondary to an arterial kinking had been documented in patients who had a tortuous ICA. Posterior transverse plication (PTP) is one of the surgical manoeuvres used during CEA for...
Child Development Assessment: A Guide to Nurses’ (Malay Version)
Written by Dr. Wan Asma Wan Ismail, this handbook for nurses is published to assist nurses in identifying children who are facing a developmental problem at the earliest possible stage. The book also attempts to present...
SYNGAP1-Related Intellectual Disability Syndrome
SRID Syndrome is a neuro genetic disorder caused by the mutation of the SYNGAP1 gene. This syndrome interferes with the ability to think and properly handle everyday life of a person.
Neurochemical Effects of Vitamins C, E and DMSO Combinations on Oxidative Stress Biomarkers and Severity of Ischemic Stroke in Wistar Rats
Objective: The objective of this research is to reports the effect of DMSO, Vitamins C and combinations on the oxidative stress biomarkers severity of induced ischemic stroke (IS) in Wistar rats. Materials and methods:...
Simultaneous Monitoring of Intracranial Pressure and Cerebral Blood Flow in Patients with Severe Brain Injury
37 patients with severe brain injury (admission Glasgow Coma Score 8 or below) were simultaneously monitored for intracranial and cerebral perfusion pressure and cerebral blood flow using transcranial Doppler ultrasonogr...