Distal Cervical Carotid Artery Dissection after Carotid Endarterectomy: A Complication of Indwelling Shunt

The technical factors and surgical methods employed in carotid endarterectomy are controversial. In particular, whether or not to use an indwelling arterial shunt during carotid endarterectomy remains a source of conflict. We describe a rare case in which uncomplicated carotid endarterectomy was fol...

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Main Authors: Tomonori Tamaki, Node Yoji, Norihiro Saito
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:International Journal of Vascular Medicine
Online Access:http://dx.doi.org/10.1155/2010/816937
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author Tomonori Tamaki
Node Yoji
Norihiro Saito
author_facet Tomonori Tamaki
Node Yoji
Norihiro Saito
author_sort Tomonori Tamaki
collection DOAJ
description The technical factors and surgical methods employed in carotid endarterectomy are controversial. In particular, whether or not to use an indwelling arterial shunt during carotid endarterectomy remains a source of conflict. We describe a rare case in which uncomplicated carotid endarterectomy was followed by distal internal carotid artery dissection and suggest that this devastating complication was due to intimal damage produced by the use of an indwelling arterial shunt.
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publishDate 2010-01-01
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spelling doaj-art-cf68e1d72efb456c8bf52085800a6b332025-08-20T02:20:07ZengWileyInternational Journal of Vascular Medicine2090-28242090-28322010-01-01201010.1155/2010/816937816937Distal Cervical Carotid Artery Dissection after Carotid Endarterectomy: A Complication of Indwelling ShuntTomonori Tamaki0Node Yoji1Norihiro Saito2Department of Neurosurgery, Nagayama Hospital, Nippon Medical School, 1-7-1 Nagayama Tama-shi, Tokyo-to 206-8512, JapanDepartment of Neurosurgery, Nagayama Hospital, Nippon Medical School, 1-7-1 Nagayama Tama-shi, Tokyo-to 206-8512, JapanDepartment of Neurosurgery, Nagayama Hospital, Nippon Medical School, 1-7-1 Nagayama Tama-shi, Tokyo-to 206-8512, JapanThe technical factors and surgical methods employed in carotid endarterectomy are controversial. In particular, whether or not to use an indwelling arterial shunt during carotid endarterectomy remains a source of conflict. We describe a rare case in which uncomplicated carotid endarterectomy was followed by distal internal carotid artery dissection and suggest that this devastating complication was due to intimal damage produced by the use of an indwelling arterial shunt.http://dx.doi.org/10.1155/2010/816937
spellingShingle Tomonori Tamaki
Node Yoji
Norihiro Saito
Distal Cervical Carotid Artery Dissection after Carotid Endarterectomy: A Complication of Indwelling Shunt
International Journal of Vascular Medicine
title Distal Cervical Carotid Artery Dissection after Carotid Endarterectomy: A Complication of Indwelling Shunt
title_full Distal Cervical Carotid Artery Dissection after Carotid Endarterectomy: A Complication of Indwelling Shunt
title_fullStr Distal Cervical Carotid Artery Dissection after Carotid Endarterectomy: A Complication of Indwelling Shunt
title_full_unstemmed Distal Cervical Carotid Artery Dissection after Carotid Endarterectomy: A Complication of Indwelling Shunt
title_short Distal Cervical Carotid Artery Dissection after Carotid Endarterectomy: A Complication of Indwelling Shunt
title_sort distal cervical carotid artery dissection after carotid endarterectomy a complication of indwelling shunt
url http://dx.doi.org/10.1155/2010/816937
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AT nodeyoji distalcervicalcarotidarterydissectionaftercarotidendarterectomyacomplicationofindwellingshunt
AT norihirosaito distalcervicalcarotidarterydissectionaftercarotidendarterectomyacomplicationofindwellingshunt