Surgical treatment for severe distortion of the internal carotid artery
10.3760/cma.j.issn.1671-8925.2013.02.013
- VernacularTitle:内膜剥脱术治疗严重颈内动脉扭曲研究
- Author:
Li-Yong ZHANG
1
;
Wei-Dong LIU
;
Li-Xin DU
;
Ji-Yue WANG
;
Li-Qun JIAO
Author Information
1. 252000,聊城市脑科医院神经外科
- Keywords:
Internal carotid artery;
Kinking of vessel;
Carotid endarterectomy
- From:
Chinese Journal of Neuromedicine
2013;12(2):166-170
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate and summarize the possibility and experience of reconstructive vascular operation for V-shaped kinking of internal carotid artery.Methods Reconstructive vascular operation was performed in 11 patients with symptomatic V-shaped kinking of internal carotid artery,admitted to our hospitals from July 2008 to May 2010; 7 of them underwent eversion endarterectomy simultaneously.Results One patient with severe distortion appeared mild agitation,insomnia and headache 3-5 d after the operation,but 1 week later,the system disappeared completely.CTA right after the operation showed that the distortion vascular was straight with good vascular patency.All patients rechecked MR diffusion weighted imaging 1 week after the operation,showing that 2 patients had fresh lacunar infarction in the operation side.Carotid ultrasonography showed no restenosis recurrence,distortion or hemodynamic disorders 3 and 6 months after the operation.1patient rechecked CT brain perfusion imaging 6 months after the operation,showing obviously improved perfusion.Follow up for 6 months reviewed no other new infarction lesions,no obvious nervous signs or symptoms appeared; no one reappeared TIA or had operative complications.Obvious improvement of spirit and reaction was noted in a patient with slow response.Conclusion Reconstructive vascular operation is an effective surgical approach in kinking and coiling of the internal carotid artery.
