• A tracheostomy is thus indicated to facilitate laryngotracheobronchial toilet or to mitigate complications arising from prolonged intubation which include laryngotracheal stenosis among others (3,8,13,14). (annalsofafricansurgery.com)
  • When the symptoms of cerebral ischemia are transient, intermittent, and self-resolving, the results of surgical correction of the area of carotid stenosis are excellent. (mhmedical.com)
  • In patients with confirmed high-grade (70-99%) stenosis of the internal carotid artery , surgical carotid endarterectomy (CEA) is highly beneficial and has become the standard surgical treatment. (medscape.com)
  • Similarly, the European Carotid Surgery Trial (ECST) found that on average, the immediate risk of surgery was less than the long-term risk of stroke without surgery when the stenosis was greater than about 80% diameter. (medscape.com)
  • [ 2 ] Several reports favor earlier carotid revascularization (≤ 7 d or even ≤ 48 h) for recently symptomatic stenosis, in view of their finding that there is no change in the safety profile of CEA done in the hyperacute period (≤ 48 h) as compared with CEA done at a later time (day 3-14). (medscape.com)
  • As mentioned above, CEA is indicated for symptomatic 70-99% carotid stenosis and is three times as effective as medical therapy alone in reducing the incidence of stroke. (medscape.com)
  • [ 4 ] In cases of moderate (50-69%) carotid stenosis, the benefit is less clear, and the patient's risk factors for stroke must be weighed against the risk of perioperative complications in deciding between operative and medical therapy. (medscape.com)
  • 50%) carotid stenosis do not benefit from surgical treatment. (medscape.com)
  • OBJECTIVES: Patients sometimes present with high cervical internal carotid artery (ICA) stenosis. (bvsalud.org)
  • An intimal tear exposes subendothelial collagen and leads to either thrombus formation with arterial stenosis/occlusion or distal thromboembolism 4 . (emdocs.net)
  • In the case of atherosclerotic disease, severe stenosis or thrombosis can be caused by cholesterol plaques, which can cause occlusions of vasculature or stenosis of vessels, blocking blood flow and leading to cerebral ischemia. (statpearls.com)
  • Carotid artery stenosis is a chronic atherosclerotic disease resulting in narrowing of the common and internal carotid arteries. (lecturio.com)
  • Carotid artery stenosis is commonly diagnosed via carotid duplex ultrasound. (lecturio.com)
  • The most serious complication of carotid artery stenosis is stroke. (lecturio.com)
  • Carotid Artery Stenosis is a narrowing of the common and internal carotid arteries Arteries Arteries are tubular collections of cells that transport oxygenated blood and nutrients from the heart to the tissues of the body. (lecturio.com)
  • Carotid artery stenosis c. (babelouedstory.com)
  • Symptoms of tracheal stenosis can be present shortly after birth or develop after an acute injury to the trachea. (symptoma.com)
  • The purpose of this study was to clarify the criteria for initial treatment of chronic subdural hematoma (CSDH) by com-paring the backgrounds and post-treatment courses of patients who underwent drainage or middle meningeal artery (MMA) emboliza-tion for CSDH. (go.jp)
  • Selective external carotid artery angiography can show that the branches of the internal carotid artery are anastomosed with the middle meningeal artery, the accessory meningeal artery and the ascending pharyngeal artery at the bottom of the cavernous sinus to form the external carotid artery. (heraldopenaccess.us)
  • Conclusions Endovascular management with arterial reconstruction is helpful in the treatment of ICA injuries during trans-sphenoidal surgery. (bmj.com)
  • Traumatic Carotid Cavernous Fistula (TCCF) refers to the rupture of the arterial wall or branches of the cavernous sinus segment of the internal carotid artery caused by trauma, resulting in abnormal arteriovenous communication between the internal carotid artery and the cavernous sinus. (heraldopenaccess.us)
  • Therefore, it is often necessary to use arterial catheterization for selective angiography of the whole brain, in addition to contralateral internal and external carotid artery angiography, contralateral internal carotid artery and vertebral artery are also photographed when the ipsilateral carotid artery is compressed and the blood flow is temporarily blocked. (heraldopenaccess.us)
  • As the chin is lifted and the head titled backwards for surgery, the initial arterial dissection footage occurs with a small tear of the lining within the lumen. (smartimagebase.com)
  • To our knowledge, this is the first reported case of a vascular arterial injury to the MCA from a nail-gun injury. (surgicalneurologyint.com)
  • This report demonstrates that primary repair of a traumatic injury to the arterial vasculature can be associated with good radiographic and clinical outcome. (surgicalneurologyint.com)
  • A branch retinal artery occlusion (BRAO) occurs when one of these branches of the arterial supply to the retina becomes occluded. (medscape.com)
  • Primate studies have shown that complete occlusion of arterial supply to the retina results in reversible ischemic injury in up to 97 minutes. (medscape.com)
  • The exact etiology behind dissecting ICA aneurysms is unknown, although these have been linked to trauma and underlying arterial pathologies, causing a sudden tear in the intimal layer of the artery [3, 6]. (fortunepublish.com)
  • Sphenopalatine arterial electrocoagulation has been found to be an effective way of stopping these bleeds [9], and endoscopic control of the SP artery via ligation has been successful in controlling significant epistaxis of the posterior nasal area [8, 10]. (fortunepublish.com)
  • Arteries: Histology (ICAs) secondary to atherosclerosis Atherosclerosis Atherosclerosis is a common form of arterial disease in which lipid deposition forms a plaque in the blood vessel walls. (lecturio.com)
  • Arterial/venous occlusion b. (babelouedstory.com)
  • LPS or oxLDL were administered intraluminally at the site of injury after occluding the arterial flow temporarily. (fortunejournals.com)
  • In the presented case, a young female patient with fulminant refractory DCI and CV, despite induced hypertension and nimodipine application, was treated with three-vessel continuous intra-arterial infusion and additional repetitive angioplasty of the basilar and middle cerebral arteries using a stent retriever, leading to a good clinical outcome. (thejns.org)
  • We report a unique rescue strategy involving implantation of an additional intra-arterial catheter into the vertebral artery and repetitive stent retriever dilatations of the middle cerebral and basilar arteries as an extra therapy for continuous intra-arterial nimodipine vaspospasmolytic therapy in three vessel territories, resulting in a very good clinical outcome. (thejns.org)
  • It is unlikely that intra-arterial treatment will alter the natural history of acute ischemic stroke in the absence of a proximal arterial occlusion, so they probably included many patients who didn't need the therapy," he said. (medscape.com)
  • Although genetic conditions are associated with increased risk of aneurysm development (see below), most intracranial aneurysms probably result from hemodynamically induced degenerative vascular injury. (medscape.com)
  • Aneurysm is an abnormal local dilatation in the wall of a blood vessel, usually an artery, due to a defect, disease, or injury. (medscape.com)
  • The common causes of intracranial aneurysm include hemodynamically induced or degenerative vascular injury, atherosclerosis (typically leading to fusiform aneurysms), underlying vasculopathy (eg, fibromuscular dysplasia), and high-flow states, as in arteriovenous malformation (AVM) and fistula. (medscape.com)
  • 1 , 2 The presentation of this potentially fatal complication includes severe perioperative or postoperative bleeding, a false aneurysm of the ICA or a carotid cavernous fistula. (bmj.com)
  • The young child was initially evaluated with a color flow ultrasonography Doppler imaging which revealed a left neck haematoma, a pseudo aneurysm of the left common carotid artery (LCCA), and a continuous flow from the LCCA to the left internal jugular vein (LIJV) which was indicative for the presence of a carotid-jugular fistula. (scirp.org)
  • Herein, we describe four cases in which the proximal internal carotid artery (ICA), affected by a paraclinoid aneurysm, was secured using an endoscopic endonasal approach. (bvsalud.org)
  • A large dissecting aneurysm in the right intracerebral artery was also incidentally found. (fortunepublish.com)
  • We present a unique case, a young female who has a postoperative course complicated by both a right ICA dissecting aneurysm and a ruptured left sphenopalatine artery after a skull-base chordoma resection. (fortunepublish.com)
  • Penetrating neck injuries are uncommon in children and a post traumatic common carotid artery to internal jugular vein fistula rarely occurs. (scirp.org)
  • Atherosclerotic lesions at the common carotid artery junction and ascending pharyngeal artery were induced in hypercholesterolemic Yucatan microswine at 5-6 months of age with balloon angioplasty. (fortunejournals.com)
  • Involvement of the petrous segment of the carotid canal is associated with a relatively high incidence of carotid injury. (wikipedia.org)
  • Congenital abnormalities of the intracranial vasculature, such as fenestrations of the vertebrobasilar junction or persistent trigeminal arteries, are associated with an increased incidence of saccular aneurysms. (medscape.com)
  • The study aimed at evaluating the immediate outcomes of tracheostomy and incidence of immediate complications associated with tracheostomy. (annalsofafricansurgery.com)
  • The incidence of stroke is greater in patients with contralateral carotid occlusion, and one-stage bilateral carotid endarterectomy is inadvisable because of the increased incidence of complications. (mhmedical.com)
  • however, surgical ligation is associated with a high incidence of major complications. (bmj.com)
  • Reported incidence, or diagnosis, of BCVI is partly dependent on the predetermined screening criteria, such as the Denver Criteria (Table 3) and the Memphis Criteria (Table 4), which take into consideration the mechanism and associated injuries that trigger screening. (emdocs.net)
  • The emphasis is on early application of currently available measures that, if systematically applied, may reduce the incidence or severity of these complications. (cdc.gov)
  • Given the shallow geometry of the glenoid fossa and large range of motion permitted, glenohumeral joint dislocation is a relatively common injury with an incidence of 24 per 100,000 persons per year [1]. (jocr.co.in)
  • Penetrating nail-gun injuries to the head are rare, however, the incidence has been gradually rising over the last decade. (surgicalneurologyint.com)
  • In this article, we present the case, incidence, pathology, and a brief literature review of penetrating nail-gun injuries to highlight the principles of management pertaining to penetration of cerebrovascular structures. (surgicalneurologyint.com)
  • [ 16 ] Over a similar period, another study showed a 20% incidence of stroke in patients with retinal artery occlusion. (medscape.com)
  • Given the higher incidence of cardiovascular and cerebrovascular complications in these patients, appropriate subspecialist referrals should be made at the time of diagnosis. (medscape.com)
  • The incidence of vascular complications has varied according to the definition that has been applied. (ahajournals.org)
  • Ischemic stroke seems to be one of the most serious neurologic complications in patients with COVID-19 infection. (scienceopen.com)
  • Strokes are caused by either blood flow blockage to the brain (ischemic stroke) or the sudden rupture of an artery in the brain (hemorrhagic stroke). (adam.com)
  • From an ocular standpoint, and in the absence of subsequent retinal artery occlusions, vision usually stabilizes soon after the ischemic event. (medscape.com)
  • Higher injury severity scores are largely due to association with the comorbid medical conditions of COPD, ischemic heart disease, diabetes, cirrhosis, and coagulopathies. (reliasmedia.com)
  • This may be due to the occlusion of a cerebral vessel, in which case the patient suffers an ischemic infarction, or due to the rupture of a blood vessel. (symptoma.mt)
  • Ischemic stroke commonly results from the occlusion of the lumina of the cerebral vessels by a thrombus or embolus. (rnspeak.com)
  • In-stent thrombotic occlusion is a serious ischemic complication that can also result in ischemia in the distal perfusion territory and the territory of side branches for the artery in which the flow diverter (FD) stent is deployed. (thejns.org)
  • MR CLEAN (Multicenter Randomized Clinical Trial of Endovascular Treatment for Acute Ischemic Stroke in the Netherlands), published online in the New England Journal of Medicine on December 17, showed a clinically significant increase in functional independence in daily life by 3 months in patients with an occluded major cerebral artery who underwent endovascular intervention, most of whom had already received thrombolysis. (medscape.com)
  • The role of carotid endarterectomy is the prevention of strokes in patients with systemic disease of the vascular system. (mhmedical.com)
  • Mild intracranial disease with severe proximal disease is another indication for carotid endarterectomy. (mhmedical.com)
  • The North American Symptomatic Carotid Endarterectomy Trial (NASCET) found that patients who underwent surgery within 2 weeks after the onset of neurologic deficits had better neurologic outcomes, with a 17% absolute reduction in the risk of ipsilateral stroke at 2 years. (medscape.com)
  • This study demonstrates the usefulness of the transstyloid approach to expose the distal ICA by dissection of the styloid diaphragm covering the distal cervical ICA for carotid endarterectomy (CEA). (bvsalud.org)
  • The occurrence, growth, thrombosis, and even rupture of intracranial saccular aneurysms can be explained by abnormal hemodynamic shear stresses on the walls of large cerebral arteries, particularly at bifurcation points. (medscape.com)
  • There are reports on various other risks like rhinoliquorrhea, brain damage, fistulas between sinus-cavernosus and carotid artery, aneurysms and thrombosis of the cavernous sinus. (egms.de)
  • It is necessary to secure both the proximal and distal sides of the parent artery to prevent premature rupture when clipping cerebral aneurysms. (bvsalud.org)
  • Securing the proximal side of the parent artery using an endoscopic endonasal approach may be a viable method for clipping selected ICA aneurysms, such as paraclinoid aneurysms especially for upward or outward aneurysms of the C2 portion. (bvsalud.org)
  • Dissecting carotid aneurysms of the internal cerebral artery are extremely rare, occurring in 2.5 to 3 people out of 100,000 [1-3]. (fortunepublish.com)
  • These dissecting aneurysms most commonly occur in the extracranial portion of the ICA rather than the ICA (70 to 80% of cases), and they are associated with vertebral artery dissection in up to 20% of cases [3, 4]. (fortunepublish.com)
  • Ten patients had previously undergone ligation of the proximal supplying arteries, incomplete surgical resection, and/or embolization and had their lesions deteriorate. (ajnr.org)
  • Reconstitution of the brachial artery was found 11.5 cm proximal to the antecubital fossa. (jocr.co.in)
  • To prevent basilar skull fractures, many motorsports sanctioning bodies mandate the use of head and neck restraints, such as the HANS device. (wikipedia.org)
  • Preoperative protective stenting of the internal carotid artery in the management of complex head and neck paragangliomas: long-term results. (unipr.it)
  • Objectives: To investigate the long-term results of preoperative stenting of the internal carotid artery (ICA) in complex head and neck paragangliomas (HNP) as well as to report on indications and technical details of the procedure. (unipr.it)
  • However, in settings with delayed diagnosis for head and neck tumours, upper airway obstruction is a common indication (5,6). (annalsofafricansurgery.com)
  • Bilateral laryngeal paralysis, (11,12) neuromuscular dysfunction in case of tetanus, motor neuron disease, traumatic brain injury and/ or neck injury may compromise breathing that may require mechanical ventilation. (annalsofafricansurgery.com)
  • Patients undergoing extensive head and neck procedures, major surgery of the tongue or floor of the mouth are at a high risk of airway obstruction or aspiration of blood or pharyngeal secretions and these patients may undergo a prophylactic tracheostomy during the operative procedure to protect the airway (10). (annalsofafricansurgery.com)
  • [ 9 , 4 ] In addition to perioperative stroke, serious complications that may develop after CEA include myocardial ischemia and infarction , hemodynamic instability, cranial nerve (CN) injuries, and bleeding resulting in neck hematomas and airway compromise. (medscape.com)
  • We present one case of a 4-year-old girl with a penetrating injury from flying glass fragments in the midportion of the neck, caused by an explosion in a military warehouse. (scirp.org)
  • Penetrating neck injuries are uncommon in children, and they constitute a significant management challenge. (scirp.org)
  • We describe a case of a 4-year-old girl with a penetrating neck injury from flying glass fragments caused by an explosion in a military warehouse in a neighbour country. (scirp.org)
  • The diagnosis of internal carotid cavernous fistula is mainly determined by neuroimaging examination, such as head CT scan, neck MRI and cerebral angiography. (heraldopenaccess.us)
  • Surgical treatment is a traditional treatment, which can be removed through the neck or scalp incision and cut off the abnormal communication between the cavernous sinus and the internal carotid artery to prevent the occurrence of complications such as hemorrhage and cerebral embolism. (heraldopenaccess.us)
  • Blunt neck trauma with damage to the carotid and vertebral artery injuries are commonly referred to as blunt cerebrovascular injuries (BCVIs). (emdocs.net)
  • TMZ obtained May's death certificate, which says that she suffered a blunt force injury during a "neck manipulation by [a] chiropractor. (scienceblogs.com)
  • That injury tore an artery in her neck and cut off blood flow to her brain, which led to the stroke that killed her. (scienceblogs.com)
  • May fell-hard-and h it her neck or head on something . (scienceblogs.com)
  • The carotid arteries come up through either side of the front of the neck. (adam.com)
  • To feel the pulse of a carotid artery, place your fingertips gently against either side of your neck, right under the jaw. (adam.com)
  • The basilar artery forms at the base of the skull from the vertebral arteries, which run up along the spine, join, and come up through the rear of the neck. (adam.com)
  • Pseudoaneurysms of the head and neck region are relatively rare and consequently there are few reports in the literature. (amjcaserep.com)
  • The main causes of pseudoaneurysms in the head and neck area are associated with blunt or penetrating injuries in this area or are iatrogenic, originating during surgical procedures. (amjcaserep.com)
  • https://financial-dictionary.thefreedictionary.com/extracranial The carotid arteries are blood vessels located on each side of your neck (carotid arteries). (mayabouchenaki.com)
  • An endovascular catheter digital subtraction angiogram identified the cause of epistaxis as a rupture of the left sphenopalatine artery branch of the left external carotid artery. (fortunepublish.com)
  • Complications include pneumothorax especially in children, (17) hemorrhage, damage to the trachea or due to an injury to the paratracheal structures, particularly the carotid artery and recurrent laryngeal nerve and esophagus as well as anesthesia related complications (18). (annalsofafricansurgery.com)
  • Early postoperative complications of tracheostomy include wound infection, secondary hemorrhage, subcutaneous emphysema, pneumomediastinum, pneumothorax, obstruction of the tube lumen, accidental extubation, anterior displacement of the tube, tip occlusion against the tracheal wall or there can also be swallowing problems (4). (annalsofafricansurgery.com)
  • Frequent complications of shoulder dislocation include deltoid weakness, rotator cuff tear, nerve injury, bony deformities, persistent joint laxity, and in rare instances axillary artery damage [2].Vascular injury is identified by "hard signs" including: active pulsatile hemorrhage, expanding hematoma, palpable/audible bruit, overt limb ischemia, or diminished pulses. (jocr.co.in)
  • A maxillary artery hemorrhage occurred after multiple craniofacial trauma including bilateral fracture of the condylar processes and treatment with intravascular embolization. (amjcaserep.com)
  • Traumatic injuries are the result of the mechanical component of a fall, such as intracerebral hemorrhage and long bone fractures. (reliasmedia.com)
  • Delayed cerebral ischemia (DCI) and cerebral vasospasm (CV) are severe complications of spontaneous subarachnoid hemorrhage (SAH) contributing to an inferior outcome. (thejns.org)
  • Stroke is ultimately the most feared complication , occurring in up to 20% of BCVI patients 5 . (emdocs.net)
  • Now, TMZ reports reports that a visit to the chiropractor left her with an injury that precipitated the stroke. (scienceblogs.com)
  • The middle cerebral artery (MCA) is the most common artery involved in acute stroke. (statpearls.com)
  • Identify the various potential etiologies of middle cerebral artery stroke. (statpearls.com)
  • Summarize the most important evaluations needed to diagnose a middle cerebral artery stroke. (statpearls.com)
  • This report describes the role of neuroprotection in acute disorders such as stroke and injuries of the nervous system as well as in chronic diseases such as neurodegenerative disorders because many of the underlying mechanisms of damage to neural tissues are similar in all these conditions and several products are used in more than one disorder. (researchandmarkets.com)
  • Keith Muir, MD, Glasgow University, United Kingdom, who is heading up a similar British trial (PISTE [Pragmatic Ischaemic Stroke Thrombectomy Evaluation]), added: "It is fantastic to be a position to have finally got some positive results. (medscape.com)
  • The main symptoms are immediately or several days and weeks after injury, including intracranial murmur, exophthalmos, eye swelling, increased intraocular pressure and decreased vision. (heraldopenaccess.us)
  • Intracranial nail-gun injuries are a rare but well-characterized cause of penetrating brain injury. (surgicalneurologyint.com)
  • Incidental Metastatic Meningioma Presenting as a Large Liver Mass Complications of CSOM are classified into intracranial and extracranial complications. (mayabouchenaki.com)
  • Intracranial vascular disease involves the arteries within the skull or at the base of the skull. (mayabouchenaki.com)
  • Usually on the imaging of the ipsilateral internal carotid artery, there is only a mass of contrast medium in the cavernous sinus, and the filling of the distal cerebral vessels is poor, and the exact location of the fistula is difficult to determine. (heraldopenaccess.us)
  • Then, the carotid sheath was dissected, and the glossopharyngeal nerve was identified crossing over the distal ICA. (bvsalud.org)
  • Hard signs of vascular injury including diminished distal pulses are the hallmark of this complication, and should always prompt vascular surgery consultation. (jocr.co.in)
  • Due to concerns for vascular involvement, a computerized tomography (CT) angiogram of the right upper extremity was performed and revealed an occlusion of the axillary artery just distal to the takeoff of the subscapular artery (Fig. 2). (jocr.co.in)
  • What is Blunt Cerebrovascular Injury? (emdocs.net)
  • While there is a large volume of case reports in the literature, there are only a few incidences of cerebrovascular injury. (surgicalneurologyint.com)
  • It is imperative to have a high clinical suspicion for cerebrovascular compromise in penetrating nail-gun injuries even when conventional imaging suggests otherwise. (surgicalneurologyint.com)
  • Space-occupying brain edema is a serious and potentially fatal complication of cerebrovascular accidents. (symptoma.mt)
  • Surgical improvement is minimal in patients with complete occlusion of the internal carotid artery, and operation is not recommended for patients with established long-standing occlusion. (mhmedical.com)
  • Purpose To report our experience with intraoperative complications involving the internal carotid artery (ICA) during trans-sphenoidal surgery and their outcome with reconstructive endovascular management. (bmj.com)
  • Intraoperative injuries of the internal carotid artery (ICA) have a high morbidity and mortality when they occur during trans-sphenoidal surgery. (bmj.com)
  • Vertebral arteriography is used to compress the ipsilateral carotid artery at the same time, so that the contrast medium can be seen retrograde from the posterior communicating branch through the cavernous fistula of the internal carotid artery. (heraldopenaccess.us)
  • At the same time, the contralateral internal carotid artery angiography can also understand the integrity of the Willis ring and estimate the compensation of the cerebral artery, which is helpful to judge whether the blood flow of the ipsilateral internal carotid artery can be interrupted. (heraldopenaccess.us)
  • Interventional therapy mainly includes occlusion of fistula with detachable balloon, coil, Onyx glue, Willis covered stent or internal carotid artery. (heraldopenaccess.us)
  • To investigate the effect of endovascular and/or hybrid surgical recanalization on chronic long-segment occlusion of the internal carotid artery (ICA) and the effect of occlusion location on the recanalization rate and prognosis, 87 patients with chronic ICA occlusion treated with endovascular approach only or hybrid surgery were retrospectively enrolled. (bvsalud.org)
  • Out of 10, 8 had large infarcts (3 massive middle cerebral artery, 2 basilar artery, 2 posterior cerebral artery, and 1 internal carotid artery infarct territory). (scienceopen.com)
  • The innermost layer of an artery or vein, made up of one layer of endothelial cells and supported by an internal elastic lamina. (lookformedical.com)
  • At the Circle of Willis, the internal carotid arteries branch into smaller arteries that supply oxygenated blood to over 80% of the brain. (adam.com)
  • It branches directly from the internal carotid artery and consists of four main branches, M1, M2, M3, and M4. (statpearls.com)
  • In both of these cases, clots can travel from the heart through the left ventricle into the aorta and lodge in the internal carotid artery (ICA) or its branches, most frequently the MCA. (statpearls.com)
  • His right femoral artery was cannulated, and a microcatheter was advanced toward the internal carotid artery (ICA). (asahq.org)
  • After surgery or embolization, patients should be closely observed for any complications or signs of rebleeding. (medscape.com)
  • Some "complications" however are in fact a mistake in preoperative analysis or surgical planning, in applying an inadequate technique or in postoperative care [1] . (egms.de)
  • If the patient does not tolerate a balloon test occlusion, then a surgical bypass or reconstructive endovascular procedure should be performed. (bmj.com)
  • The presentation, diagnostic procedures and surgical management of this very rare injury are discussed. (scirp.org)
  • Skull base surgery poses a somewhat low risk of neurovascular injury regardless of the surgical approach taken, although this is especially true when endoscopy is used. (fortunepublish.com)
  • Necrosis of eye-lids by infections and blindness by central artery occlusion are known. (egms.de)
  • In three patients, covered stent placement achieved hemostasis at the site of injury within the ICA. (bmj.com)
  • One patient developed delayed bleeding 6 h after covered stent placement and underwent successful endovascular occlusion of the ICA but died 6 days after the injury. (bmj.com)
  • The new and thickened layer of scar tissue that forms on a PROSTHESIS, or as a result of vessel injury especially following ANGIOPLASTY or stent placement. (lookformedical.com)
  • A thorough medical evaluation of the cardiovascular system with special attention to the coronary arteries is indicated. (mhmedical.com)
  • As blood dissects within the intimal walls, occlusion of the vessel may also occur. (emdocs.net)
  • Collectively, the results suggest that angioplasty-mediated intimal injury of the carotid arteries in atherosclerotic swine with local administration of LPS or ox-LDL induces vulnerable plaques compared to angioplasty alone and oxLDL is relatively more potent than LPS in inducing vulnerable plaque. (fortunejournals.com)
  • As part of the second discussion, I pointed out that, while the evidence base supporting chiropractic manipulation as a cause of strokes due to occlusion of the vertebral or basilar arteries is pretty convincing, the evidence that chiropractic manipulation can cause carotid artery injury is much less convincing. (scienceblogs.com)
  • It's not difficult to see how a rapid rotation of the head could potentially stretch the basilar arteries. (scienceblogs.com)
  • The central retinal artery, a branch of the ophthalmic artery, enters the eye through the optic disc and divides into multiple branches to perfuse the inner layers of the retina. (medscape.com)
  • It's also less plausible, too, given that there is a clear physical mechanism for injury to the vertebral arteries. (scienceblogs.com)
  • However, in 10% of cases, these bleeds originate in the posterior nasal area, including the sphenopalatine artery (SP artery), and require more serious methods of management [7, 8]. (fortunepublish.com)
  • The most common include cholesterol emboli from aorto-carotid atheromatous plaques, platelet-fibrin emboli from thrombotic disease, and calcific emboli from cardiac valvular disease. (medscape.com)
  • The patient was initially evaluated at an outside hospital where the vascular injury was not immediately identified, and then was subsequently transferred to our institution where he underwent bypass grafting without significant sequela. (jocr.co.in)
  • A basilar skull fracture occurs in about 12% of people with a severe head injury. (wikipedia.org)
  • Histomorphology of the carotid artery tissue near the injury corroborated the presence of severe lesions in both LPS and oxLDL-treated pigs but more in the oxLDL group. (fortunejournals.com)
  • 3-5 When treating a patient who has fallen, the emergency medicine physician should identify traumatic injuries, evaluate for medical pathology contributing to the fall, as well as manage the patient. (reliasmedia.com)
  • Ensuring adequate hemostasis in skull-base surgeries is extremely important to limit the rate of complications intra-operatively and post-operatively, given the delicate and complex neurological and vascular anatomy at the base of the skull. (fortunepublish.com)
  • Although rare, clinicians should actively rule out vascular injuries when evaluating shoulder dislocations, especially in the elderly patient with a known history of atherosclerotic disease, those with evidence of chronic joint instability, and in the setting of high energy injury mechanisms. (jocr.co.in)
  • Epistaxis is a rare complication following the endonasal approach of skull base surgery. (fortunepublish.com)
  • A rare complication of cardiopulmonary resuscitation. (mcmaster.ca)
  • In patients with type II occlusion, the success rate of recanalization was 85.7% (18/21) for the endovascular approach only but 90% (18/20) for the hybrid surgery. (bvsalud.org)
  • 3 Immediate diagnosis and treatment of these complications is essential to maximize patient survival. (bmj.com)
  • The 1982 publication of The Prevention and Treatment of Five Complications of Diabetes: A Guide for Primary Care Practitioners was an initial attempt to provide straightforward and practical information that primary care practitioners could immediately apply in their practice in the diagnosis and prevention of complications of diabetes. (cdc.gov)
  • Other complications include injuries to the cranial nerves or blood vessels. (wikipedia.org)
  • This may result in injury to the blood vessels and nerves exiting the foramen magnum. (wikipedia.org)
  • The pulmonary complications play an important role in death and disability in patients with general anesthesia[1-3]. (researchsquare.com)
  • Although anesthetics such as propofol are neuroprotective as well, neuroprotection during surgery and anesthesia is discussed with the aim of preventing and treating complications that result in CNS damage. (researchandmarkets.com)
  • Endovascular interventional therapy has become one of the main methods for the treatment of the disease because of its advantages of minimally invasive, low trauma and less complications. (heraldopenaccess.us)
  • 11 Geriatric patients experience additional complications that lead to age-related higher mortality during post-trauma hospitalization, such as delirium, pneumonia, and respiratory failure. (reliasmedia.com)
  • Risk factors for ICA rupture included two patients with carotid dehiscence, one with sphenoid septal attachment to the ICA, two with revision surgery, one with prior radiation to the tumor, one with bromocriptine treatment and two with acromegaly. (bmj.com)
  • Both the occlusion of a blood vessel supplying the brain and the rupture of a cerebral vessel occur suddenly and mostly unexpectedly. (symptoma.mt)
  • Fourteen patients were affected by tympanojugular paragangliomas, 4 by vagal paragangliomas and 1 by bilateral carotid body tumors. (unipr.it)
  • The development of bilateral pseudoaneurysms after injury is very rare. (amjcaserep.com)
  • The procedure is safe for all patients even in resource poor settings and post-operative complications are minimal. (annalsofafricansurgery.com)
  • Methods A retrospective review was conducted of patients with an ICA injury related to trans-sphenoidal surgery from 2000 to 2012. (bmj.com)
  • Patients should keep their heads elevated but not hyperextended because hyperextension may cause bleeding into the pharynx and possible aspiration. (medscape.com)
  • The total success rate of recanalization was 94.3% (82/87) for all patients, 100% for type I occlusion, and 87.8% for type II occlusion. (bvsalud.org)
  • Table 2 highlights the common signs and symptoms amongst patients with dissections of either the carotid or basilar artery 1 and tables 3 and 4 outline the Denver and Memphis BCVI screening criteria 5 . (emdocs.net)
  • Despite the number of clinical challenges that they may present, a sound rational management strategy should permit most of these patients to be safely treated minimizing the risks of additional injury. (surgicalneurologyint.com)
  • This activity describes the presentation, evaluation, and management of middle cerebral artery strokes, and explains the role of the members of the interprofessional team in assessing, diagnosing, managing, and rehabilitating patients who suffer from this, and how to try to prevent a recurrence. (statpearls.com)
  • Prevention, early identification and effective management of vascular access complications remain an important aspect of managing patients undergoing TAVR. (ahajournals.org)
  • In patients receiving first‐generation valves, ≈12% of patients experienced a major vascular complication and 16% a life‐threatening bleed, as defined by the Valve Academic Research Consortium criteria. (ahajournals.org)
  • Elderly patients have greater injury severity scores than younger patients with comparable mechanisms of injury. (reliasmedia.com)
  • It will now be used for patients with occlusion of the major cerebral artery who present within in 6 hrs. (medscape.com)
  • Small vessel or lacunar strokes are associated with small focal areas of ischemia due to obstruction of single small vessels, typically in deep penetrating arteries, that generate a specific vascular pathology. (rnspeak.com)
  • Conclusions: Preoperative stenting of the ICA represents a safe and effective procedure in selected cases, obviating the need for balloon occlusion or bypass procedures and reducing the risk of intraoperative vascular injury. (unipr.it)
  • Axillary artery, shoulder dislocation, bypass repair. (jocr.co.in)
  • Here we present and discuss a unique case of an anterior shoulder dislocation with associated axillary artery injury treated with reduction and prosthetic bypass grafting. (jocr.co.in)
  • Complications of tracheostomy can occur intra-operatively, in the early postoperative period or in the late post-operative period (15). (annalsofafricansurgery.com)
  • Surgery may be performed to seal a CSF leak that does not stop, to relieve pressure on a cranial nerve or repair injury to a blood vessel. (wikipedia.org)
  • In this paper we present our experience with intraoperative complications involving the ICA during trans-sphenoidal surgery and their outcome with reconstructive endovascular management. (bmj.com)
  • In conclusion, chronic long-segment ICA occlusion can be safely and efficiently recanalized with the endovascular and hybrid surgery. (bvsalud.org)
  • Blockage can occur with inflammation of the arteries (called arteritic, typically as part of. (msdmanuals.com)