Use of coronary artery stents in the treatment of internal carotid artery stenosis at the base of the skull

Mencken, G. Scott; Wholey, Mark H.; Eles, Gustav

doi:10.1002/(sici)1097-0304(199812)45:4<434::aid-ccd20>3.0.co;2-4

Cited by 13 publications

(3 citation statements)

References 11 publications

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“…Their roles in these situations are still in the early stages of being defined. Successful balloon angioplasty and stenting of stenotic lCA lesions at the base of the skull or within the petrous carotid artery have been reported [8]. We have performed two such procedures without complication (unreported).…”

Section: Smentioning

confidence: 89%

Skull Base Resection with Cervical-To-Petrous Carotid Artery Bypass to Facilitate Repair of Distal Internal Carotid Artery Lesions

Eliason

Netterville

Guzman

et al. 2002

Cardiovascular Surgery

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Purpose: To demonstrate a direct operative approach to vascular lesions of the internal carotid artery (1CA) at the level of the skull base. Methods: Between January 1993 and October 1999, five patients underwent lateral skull base resection with cervical-to-petrous carotid artery saphenous vein bypass for repair of distal 1CA lesions. This report describes operative methods, morbidity, graft patency, and long-term outcome with this experience. Results: Of the five patients with skull base ICA lesions, all had aneurysmal disease. Three were atherosclerotic and two were dysplastic. Preoperative neurologic symptoms including transient ischemic attacks (2) and Horner's syndrome with vascular headaches (1) were completely resolved after operation. Preoperative dysphagia (2) was resolved in one patient and clinically improved in the other. Postoperative complications included transient paresis in the cranial nerve (CN) VII distribution, as well as permanent loss of the eustachian tube and chorda tympani nerve in all five patients. One patient had lasting paresis in the CN XI distribution as well as a mild stroke resulting in arm weakness. No residual arm weakness was detected at one year. There were no graft occlusions by duplex ultrasound at 45.8 months mean objective follow-up, and no ipsilateral stroke or mortality at 51.2 months mean clinical follow-up. Conclusions: Saphenous vein bypass from the cervical-to-petrous ICA is technically feasible and provides a valuable reconstruction option for patients with skull base ICA lesions.

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Section: Smentioning

confidence: 89%

Skull Base Resection with Cervical-To-Petrous Carotid Artery Bypass to Facilitate Repair of Distal Internal Carotid Artery Lesions

Eliason

Netterville

Guzman

et al. 2002

Cardiovascular Surgery

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“…Successful balloon angioplasty and stenting of stenotic ICA lesions at the base of the skull or within the petrous canal have been reported. 33 Some recent reports have advocated the use of endovascular therapy in the treatment of aneurysms of the ICA. 6,7,32 Most publications are case reports.…”

Section: Discussionmentioning

confidence: 99%

Open surgical reconstruction of the internal carotid artery aneurysm at the base of the skull

Malikov

Thomassin

Magnan

et al. 2010

Journal of Vascular Surgery

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“…However, more recent meta-analyses indicate that carotid TEA reduces the absolute risk in asymptomatic patients by only approximately 2 % [4]. While stent-supported percutaneous transluminal angioplasty (PTA) of the carotid artery has gained importance in recent years [11,12,13,14,15,16,17], the long-term results have not yet been verified in randomized studies.…”

Section: Introductionmentioning

confidence: 99%

Ultrasound examination of carotid and vertebral arteries

Landwehr¹,

Schulte

Voshage³

2001

Eur Radiol

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Ultrasound is the most widespread diagnostic procedure in obstructive disease of the arteries supplying the brain. The combined non-invasive information on morphology and function makes duplex ultrasound the procedure of choice in screening and follow-up of carotid artery disease. This review deals with all relevant aspects of color duplex ultrasound of the carotids and the vertebral arteries. After a short introduction into the clinical background, the paper focuses on aspects of examination technique. In the main part of the review the relevant ultrasound findings in carotid artery disease are discussed. The different methods for grading stenoses of the internal carotid artery are explained in detail. Other relevant pathologies, such as vertebral artery disease, dissection and aneurysms, are briefly mentioned. The clinical value of ultrasound in the work-up of carotid and vertebral artery disease is briefly discussed in comparison with other imaging procedures.

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Use of coronary artery stents in the treatment of internal carotid artery stenosis at the base of the skull

Cited by 13 publications

References 11 publications

Skull Base Resection with Cervical-To-Petrous Carotid Artery Bypass to Facilitate Repair of Distal Internal Carotid Artery Lesions

Skull Base Resection with Cervical-To-Petrous Carotid Artery Bypass to Facilitate Repair of Distal Internal Carotid Artery Lesions

Open surgical reconstruction of the internal carotid artery aneurysm at the base of the skull

Ultrasound examination of carotid and vertebral arteries

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