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Results for “CAROTID ARTERY THROMBOSIS”

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PubMed1979

[Thrombosis of the internal carotid artery and damage to the intima of a renal artery after blunt trauma].

A 47 year-old man acquired intimal tears of the right internal carotid artery and the right renal artery by blunt injuries of the neck and the lumbar region in a horse riding accident. After a 10 days free period an occlusive thrombosis of the neck artery with fatal issue appeared. The clinical symptoms and diagnostic procedure are presented. Based on macroscopic, magnifying optical and histological necropsy findings these important artery injuries are discussed.

Aortic Dissection↗
PubMed2006

Current management of penetrating injuries of the soft palate.

Children present to emergency departments with soft palate impalement injuries on an infrequent though periodic basis. Although these usually heal without treatment, internal carotid artery thrombosis occurs on rare occasions due to vessel compression causing intimal disruption. Thirty-two cases have been reported in the English literature. Hospital observation for up to 72 hours had been recommended previously for all of these injuries because of a "lucid interval," usually present before onset of neurologic symptoms. Subsequent studies have shown a very low occurrence of carotid injury and support outpatient observation similar to that after minor head injury. This is further justified by the lack of evidence that any diagnostic study or therapeutic measure alters the ultimate prognosis and outcome. Laceration repair is suggested for retained foreign bodies, through and through injury, or if a large hanging flap is present. Antibiotic indications are not well defined but should be considered for lacerations over 1 to 2 cm in length.

Carotid Artery Injuries↗
PubMed1996

Management options for post carotid endarterectomy stroke.

BACKGROUND: Management of acute thrombosis of the carotid artery has been controversial. This retrospective study reviews the etiology and analyzes the management options of post carotid endarterectomy stroke. METHODS: Diagnosis was made using oculopneumop-lethysmography (OPG/Gee), duplex ultrasound, computed tomography (CT) scanning, and carotid exploration. RESULTS: The cause of stroke was identified as carotid thrombosis in 19/32 patients (59%) and non-carotid thrombosis in 13. Management options included nine patients who underwent selective carotid exploration and all had a thrombosed carotid; mandatory exploration-six were explored and three had a thrombosed carotid artery; and 17 patients had no exploration (medical treatment). Fourteen patients had a positive OPG, 13 were confirmed to have carotid thrombosis. Eight patients had a negative OPG and all were confirmed. The OPG had an overall accuracy of 95% in detecting postoperative thrombosis (89% specificity and 100% sensitivity). Patients with thrombosed carotids and patients with positive OPGs had more severe neurological deficits than those with non-thrombosed carotids. The final neurological status of the 12 patients with carotid thrombosis who underwent thrombectomy and patch angioplasty was improved (7/12) in contrast to the seven patients who did not undergo a thrombectomy (1/7). Seven of nine patients had a complete or good recovery when thrombectomy was done within two hours of the stroke in contrast to 0/3 after two hours. Seven of ten patients with Grade II stroke (moderate) had a good recovery after carotid exploration and thrombectomy in contrast to 0/2 for Grade III (severe) stroke. CONCLUSIONS: Carotid artery thrombosis, the most common cause of post carotid endarterectomy stroke, can be detected by OPG/Gee. Immediate carotid exploration for patients with Grade I or II strokes, when thrombosis is demonstrated, can improve the results of carotid endarterectomy.

Aged↗
PubMedDate not supplied

["Asymptomatic" bilateral thrombosis of the internal carotid artery. Case report].

The Authors present a case of bilateral internal carotid artery thrombosis (BICAT) with a minimal symptomatology and whose neurological examination was consistently negative. The angiographic investigation revealed that the major supratentorial vessels were bilaterally filled via the vertebro-basilar system. Although it is now generally accepted that there are occasional cases where bilateral occlusion may be compatible with adequate vital functions, the Authors think that it is extremely rare to find a case as neurologically intact as theirs.

Basilar Artery↗