Aberrant Internal Carotid Artery

Öztürk, Kayhan; Erdur, Ömer; Kibar, Ertugrul; Sofuoglu, Fuad

doi:10.1097/scs.0000000000002433

Cited by 4 publications

(4 citation statements)

References 7 publications

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“…As a result of the analysis in this study of all the items of EAT-10, it was seen that patients with PAICA experienced most problems swallowing solid food. Ozturk et al [14], Stilo et al [22], and Antunes et al [23] reported three separate PAICA cases with dysphagia. Consistent with the current study findings, those case reports also stated that patients had problems swallowing solid foods.…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of Oropharyngeal Dysphagia in Elderly Patients with Pharyngeal Aberrant Internal Carotid Artery Using the Eating Assessment Tool-10 (EAT-10)

et al. 2021

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Pharyngeal aberrant internal carotid artery (PAICA) has been reported to be a cause of oropharyngeal dysphagia (OD) in case reports. However, as there have been no clinical studies, the relationship between PAICA and OD is not clear. The aim of this study was to investigate the perception of OD in elderly PAICA patients using the Eating Assessment Tool-10 (EAT-10). A study group (Group 1) was formed of patients diagnosed with PAICA from the visualization of a pulsatile mass in the pharynx in flexible fiberoptic endoscopic examination and carotid magnetic resonance angiography tests, and a control group (Group 2) was formed of age-matched healthy volunteers. The study group was subdivided as patients with unilateral PAICA (Group 1a) and patients with bilateral PAICA (Group 1b). The Turkish version of the EAT-10 was applied to all the participants. Total EAT-10 points of ≥ 3 were accepted as abnormal. Normal (< 3) and abnormal (≥ 3) total EAT-10 points were determined in 88.9% (24/27) and 11.1% (3/27), respectively, of the control group, in 55.2% (16/29) and 44.8% (13/29) of Group 1, in 70.6% (12/17) and 29.4% (5/17) of Group 1a, and in 33.3% (4/12) and 66.7% (8/12) of Group 1b. A statistically significant difference was determined between the control group and Group 1 and Group 1b in respect of abnormal (≥ 3) EAT-10 total points (p = 0.007, p = 0.001, respectively). No statistically significant difference was determined between the control group and Group 1a (p = 0.227). Problems (EAT point ≥ 1) in item 4 (swallowing solids takes extra effort) were experienced by 13 (44.8%) patients in Group 1, 9 (75%) patients in Group 1b, and 5 (18.5%) subjects in the control group (p < 0.05). These results demonstrated that unilateral PAICA does not significantly affect swallowing, whereas bilateral PAICA created a significant negative effect. These patients experience more problems when swallowing solid food.

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Section: Discussionmentioning

confidence: 99%

“…In patients with PAICA, one of the most common symptoms reported in case presentations in the literature is dysphagia [14][15][16][17][18]. To the best of our knowledge, no clinical study has been conducted related to dysphagia in PAICA.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Oropharyngeal Dysphagia in Elderly Patients with Pharyngeal Aberrant Internal Carotid Artery Using the Eating Assessment Tool-10 (EAT-10)

et al. 2021

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“…[3] Since then, other anatomical variants of the aortic arch have been described as the cause of this condition (right aortic arch with aberrant left subclavian artery, right aortic arch with mirror branching pattern, aberrant right subclavian artery with bicarotid trunk or aberrant internal carotid artery). [4][5][6] Aberrant internal carotid artery is usually diagnosed incidentally and the number of patients that have individually dysphagia is not frequent. [6] We describe an uncommon case of dysphagia lusoria caused by retropharyngeal internal carotid artery.…”

mentioning

confidence: 99%

“…[4][5][6] Aberrant internal carotid artery is usually diagnosed incidentally and the number of patients that have individually dysphagia is not frequent. [6] We describe an uncommon case of dysphagia lusoria caused by retropharyngeal internal carotid artery. In patients with mild-to-moderate symptoms, modifications of the diet and hygienic-dietetic measures are recommended, while it is possible to opt for surgical treatment by vascular reconstruction in patients with severe symptoms.…”

mentioning

confidence: 99%