• 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)
  • Arteriogram of carotid stenosis. (medscape.com)
  • The individual approach combines a vascular risk factor modification and various therapies addressing the specific subtypes of stroke (eg, antiplatelet drugs to prevent cerebral infarction in large and small artery diseases of the brain, carotid endarterectomy or stenting for tight carotid artery stenosis, and oral anticoagulants to prevent cardiac emboli). (medscape.com)
  • The surgical treatment of radiation-induced carotid stenosis is challenging and presents a high rate of complications. (citationimpact.com)
  • We describe our recent experience in the endovascular treatment by means of stent-assisted angioplasty with the aid of a filter cerebral protection device of eight patients presenting with radiation-induced carotid stenosis. (citationimpact.com)
  • Carotid angioplasty with cerebral protection can be performed safely in radiation-induced carotid stenosis with a high technical success rate. (citationimpact.com)
  • 70%) symptomatic carotid stenosis have up to a 20% risk of an ipsilateral stroke over the following 3-month time period, with 30% to 35% risk of ipsilateral stroke over 2 to 3 years' time when treated with optimum medical management. (radiologykey.com)
  • The degree of carotid stenosis by ultrasound should be reported based on the Society of Radiologists in Ultrasound's consensus conference in 2003. (radiologykey.com)
  • Carotid artery stenosis in patients is usually discovered after an ischemic event (either a transient ischemic attack [TIA] or a permanent stroke). (radiologykey.com)
  • Compliance and Carotid artery intima-media thickness are both important determinants of cardiovascular problems that are influenced by factors such as age, physical activity, etc. (ac.ir)
  • Tarzamni MK, Salehi R, Givian F, Farhang S. Association of carotid intima-media thickness with the presence and severity of coronary artery disease. (ac.ir)
  • Koyoshi R, Miura S-i, Kumagai N, Shiga Y, Mitsutake R, Saku K. Clinical significance of flow-mediated dilation, brachial intima-media thickness and pulse wave velocity in patients with and without coronary artery disease. (ac.ir)
  • Carotid intima-media thickness for the practicing lipidologist. (ac.ir)
  • Mahdavi-Roshan M, Salari A, Doostdar-Sanaye M. Brachial endothelial function and carotid intima-media thickness in patients with coronary artery disease. (ac.ir)
  • 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)
  • Atherosclerotic plaque removed at time of carotid endarterectomy (areas of ulceration with thrombus and intraplaque hemorrhage are present). (medscape.com)
  • Endovascular therapy for the treatment of carotid atherosclerotic disease has advanced over the last decade and is now considered to be a viable alternative to carotid endarterectomy (CEA) in appropriately selected patients. (radiologykey.com)
  • Acute injury to the internal carotid artery (carotid dissection, occlusion, pseudoaneurysm formation) may be asymptomatic or result in life-threatening bleeding. (wikipedia.org)
  • There were 23 cases of stroke or vertebral artery dissection following cervical manipulation reported during this 10-year period, or 2.3 cases per year. (drcliffordkearnsblog.com)
  • Background: This study aimed to analyse the incidence and risk factors associated with postoperative cognitive dysfunction (POCD) after malignant tumour resection and cervical lymphatic dissection in older adults undergoing oral and maxillofacial surgery. (researchsquare.com)
  • Digital subtraction angiography (DSA) showed a left petrocavernous internal carotid artery dissection (ICAD). (bmj.com)
  • B) Fifth DSA (5 days after coiling), lateral view: 5 mm residual sac developing along the medial aspect of the coiled PA (red arrow) with extension of the left intracranial carotid artery dissection up to the ICA terminus (green arrow). (bmj.com)
  • Patients who receive neck manipulation are at risk for a stroke caused by vertebral artery dissection. (edzardernst.com)
  • Studies have shown that vertebral artery dissection occurs in approximately 1 in 100,000 people and can be caused by something as simple as cracking your neck . (edzardernst.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)
  • It is with heavy hearts that we confirm the passing today of Katie May - mother, daughter, sister, friend, businesswoman, model and social media star - after suffering a catastrophic stroke caused by a blocked carotid artery on Monday," the statement reads. (scienceblogs.com)
  • Doing that allowed me to construct a timeline, which leaves open the biggest question: Was it May's neck injury or the chiropractic adjustments that caused the stroke that killed her? (scienceblogs.com)
  • Vascular injury and stroke. (drcliffordkearnsblog.com)
  • Carotid occlusive disease is one of several etiologic factors for stroke. (radiologykey.com)
  • The vascular diseases include stroke, peripheral artery disease (PAD), abdominal aortic aneurysm (AAA), carotid artery disease (CAD), arteriovenous malformation (AVM), critical limb-threatening ischemia (CLTI), pulmonary embolism (blood clots), deep vein thrombosis (DVT), chronic venous insufficiency (CVI), and varicose veins. (researchandmarkets.com)
  • It can be acquired through injury, stroke, tumor, disruption of the main artery of the neck, or accidental complication of surgery or in rare cases, it may be congenital 1. (epainassist.com)
  • Neck and shoulder injuries at birth, stroke, blood clot or abnormality in the carotid anatomy, trauma or surgery involving the chest, neck or the upper spinal cord. (epainassist.com)
  • In cases in which the condition is acquired through injury, this damage may result from a stroke, tumor, or trauma to the neck, especially if it damages the carotid artery or jugular vein - walking through the neck. (epainassist.com)
  • However, headlines in all news platforms led with a different story: A young former Playboy model had died from a stroke, and the media was attributing her injury to neck manipulation. (drjosephpengecir.com)
  • After further investigation , a coroner determined the stroke that claimed the model and single mother's life was caused by injuries sustained during neck manipulation by a chiropractor. (edzardernst.com)
  • Recently, a patient was discovered to have a markedly aberrant right carotid artery. (asahq.org)
  • A markedly retropharyngeal course of the right carotid artery causing ventral and medial displacement of the tissues of the palate was noted. (asahq.org)
  • Using the Doppler ultrasound apparatus, the film and image of the right carotid artery was taken from the subjects. (ac.ir)
  • Atherosclerosis has a predilection for certain arteries, including the extracranial carotid artery. (medscape.com)
  • This article describes the history and impact of this process as it occurs in the extracranial carotid artery. (medscape.com)
  • Other complications include injuries to the cranial nerves or blood vessels. (wikipedia.org)
  • Postoperative complications occur in both techniques with higher incidences observed following endoscopic procedures 2) . (neurosurgery.directory)
  • 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)
  • however, surgical ligation is associated with a high incidence of major complications. (bmj.com)
  • 4 Because of these complications, endovascular occlusion has become the preferred treatment for ICA injuries. (bmj.com)
  • Given the complexity and complications of surgical approaches for this condition, and the encouraging results obtained with endovascular techniques, carotid angioplasty emerges as the preferred treatment option. (citationimpact.com)
  • The incidence of complications from cervical spine revision surgery is higher than in first-time procedures. (dheerajbojwani.com)
  • Carotid artery balloon angioplasty and stent placement (CAS) during its infancy was associated with higher rates of perioperative ischemic complications when compared with CEA. (radiologykey.com)
  • Today, the rate of complications from CEA versus CAS are nearly equivocal, making the choice of therapy based more on clinical presentation, medical comorbidities, and carotid artery anatomy. (radiologykey.com)
  • This case concurs with a previous report that the incidence of mechanical complications after multiple attempts is higher than after one attempt. (hkmj.org)
  • The study aimed at evaluating the immediate outcomes of tracheostomy and incidence of immediate complications associated with tracheostomy. (annalsofafricansurgery.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)
  • In the first few days after the injury, maintaining adequate brain perfusion and oxygenation and preventing complications of altered sensorium are important. (msdmanuals.com)
  • 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)
  • Antithrombotic therapy and endovascular stents are effective treatment for blunt carotid injuries: results from longterm followup. (westerntrauma.org)
  • 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)
  • Conclusions Endovascular management with arterial reconstruction is helpful in the treatment of ICA injuries during trans-sphenoidal surgery. (bmj.com)
  • In this review, the authors concentrate their discussion on the treatment of carotid atherosclerotic disease with particular attention on the endovascular treatment. (radiologykey.com)
  • Patients that are ideal for CAS include patients that have a high surgical risk, such as patients with prior neck irradiation, aberrant neck anatomy, contralateral recurrent laryngeal nerve injury, prior ipsilateral CEA, significant coronary artery disease, high cervical stenotic lesion location, and tracheostomy. (radiologykey.com)
  • The artery stent is a small, metal mesh tube that expands inside a coronary artery. (researchandmarkets.com)
  • The cardiac catheterization is used to diagnose and evaluate common heart and blood vessel problems such as chest pain or an abnormal stress test due to coronary artery disease, heart valve conditions like a leaky or narrowed valve, a high blood pressure condition in the lungs, or blood clots. (researchandmarkets.com)
  • The challenge is to consider all preserved/reduced ejection fraction populations, ventricular wall thickness, anemia, or presence of other coronary artery diseases. (romanianjournalcardiology.ro)
  • Ischemic injury due to coronary artery disease is the most common pathological cause of cardiac remodeling [ 6 ]. (biomedcentral.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)
  • For venous access via the neck, common carotid and subclavian artery injuries have been reported. (hkmj.org)
  • Urgent contrast computed tomographic angiogram ( Figs 2 and 3 ) revealed that the catheter had been inserted via the left IJV, subsequently exiting posteromedially, entering the left vertebral artery, and harbouring at the origin of the left subclavian artery. (hkmj.org)
  • Computed tomographic angiogram also showed abnormal contrast pooling over the right neck suggestive of a pseudoaneurysm formation from the right subclavian artery. (hkmj.org)
  • The catheter tip is seen at the origin of the left subclavian artery (thin white arrow). (hkmj.org)
  • An estimated 88% of these are ischemic strokes, with 15% attributed to extracranial carotid occlusive disease. (radiologykey.com)
  • Classic management of penetrating neck injuries includes mandatory neck exploration to evaluate for the presence of injury. (medscape.com)
  • Selective exploration of neck injuries with early protocols was based on anatomic zones of injury. (medscape.com)
  • Experience with selective exploration notably indicated a high rate of negative exploration, particularly in asymptomatic patients with zone 2 injuries who underwent mandated neck explorations. (medscape.com)
  • Thus, some authors have proposed a "no-zone" management approach to penetrating neck trauma, treating the neck as a whole and choosing to explore or image each patient by the presentation and symptoms, not exclusively by the anatomic location of the injury. (medscape.com)
  • To secure a definitive airway, translaryngeal endotracheal intubation should be performed in penetrating neck injuries accompanied by respiratory failure or in cases in which urgent exploration is necessary. (medscape.com)
  • Surgical management varies in difficulty depending on the area of neck injury. (medscape.com)
  • Utility of screening for blunt vascular neck injuries with computed tomographic angiography. (westerntrauma.org)
  • Injury Since the neck is so flexible it is vulnerable to injury. (dheerajbojwani.com)
  • Blunt neck trauma with damage to the carotid and vertebral artery injuries are commonly referred to as blunt cerebrovascular injuries (BCVIs). (emdocs.net)
  • 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)
  • Published studies have documented neck manipulations by lay people (barber, masseuse, hair dresser, kung fu instructor, untrained family member, etc.), resulting in vertebral artery injury, and attributing the injury to "chiropractic manipulation" when in fact it was not. (drjosephpengecir.com)
  • Located in the neck, the vertebral arteries supply blood to the brain and can be torn by stretching and sudden force applied during a neck adjustment. (edzardernst.com)
  • Using a mouse model, we investigated cardiac remodeling under the influence of acute cigarette smoke (CS) exposure following ischemic injury in both sexes. (biomedcentral.com)
  • Neuronal injury is a key feature of neonatal hypoxic-ischemic (HI) brain injury. (fgfrinhibitors.com)
  • 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)
  • Seven patients presented with Degree I arterial injuries, 10 patients presented with Degree II artery injuries, four patients presented with Degree IV artery injuries, one patient presented with a Degree V artery injury, and one patient had a carotid fistula. (biomedcentral.com)
  • The incidence of this type of injury is difficult to determine as many emergency room patients are neurologically asymptomatic. (biomedcentral.com)
  • During a 30-month (2006-2008), all patients admitted to the emergency room of Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo with blunt cervical trauma and potential risk of cervical vessel injury, were subjected to cervical angiotomography to diagnose BCVI. (biomedcentral.com)
  • Although there is no consensus regarding the criteria that should be used to indicate angiotomography for BCVI diagnosis, we conclude that the criteria used in the current study led to a diagnosis of BCVI in 0.93% of 2,467 trauma patients, BCVI injuries were associated with more severe traumas and did not affect mortality. (biomedcentral.com)
  • The incidence of this type of injury is difficult to evaluate as many emergency room patients are neurologically asymptomatic or have symptoms attributed to cranial trauma or to other associated injuries. (biomedcentral.com)
  • Mutze S, Rademacher G, Matthes G, Hosten N, Stengel D. Blunt cerebrovascular injury in patients with blunt multiple trauma: diagnostic accuracy of duplex Doppler US and early CT angiography. (westerntrauma.org)
  • Methods A retrospective review was conducted of patients with an ICA injury related to trans-sphenoidal surgery from 2000 to 2012. (bmj.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)
  • In three patients, covered stent placement achieved hemostasis at the site of injury within the ICA. (bmj.com)
  • Several clinical studies suggest a higher incidence of POCD in older patients at approximately 3-61% [3,4]. (researchsquare.com)
  • MÉTHODES: 453 patients considérés comme des candidats à la chirurgie par une équipe de dépistage infirmière en Guinée, Afrique de l'Ouest, ont été répartis de manière aléatoire dans trois bras d'étude : contrôle, transfert monétaire conditionnel et transfert monétaire non transfert monétaire inconditionnel. (bvsalud.org)
  • Les patients du groupe de transfert inconditionnel recevaient un transfert en espèces pour couvrir leurs frais de transport avant de quitter leur domicile pour recevoir des soins. (bvsalud.org)
  • RÉSULTATS: Le taux global de non-présentation était cinq fois inférieur en Guinée que les estimations publiées précédemment, probablement en raison de changements dans le processus de sélection et de rétention des patients, ce qui a conduit à une étude insuffisamment puissante. (bvsalud.org)
  • 2017. Epidemiology and Outcomes of Vertebral Artery Injury in 16 582 Cervical Spine Surgery Patients: An AOSpine North America Multicenter Study. . (cornell.edu)
  • The high incidence related to falls, however, is likely partially attributable to the frequency of falls for elderly patients, as only 0.15% of elderly patients who experience a ground level fall are found to have BCVI 15 . (emdocs.net)
  • Patients with dissecting or fusiform aneurysms, aneurysms treated with parent artery sacrifice, aneurysms associated with brain arteriovenous malformations, and mycotic aneurysms were excluded from the subjects. (ajnr.org)
  • Chronic kidney diseases (CKD) are associated with a signifi cant increased cardiovascular disease burden (CVD) and studies also show that CVD is the leading cause of death in patients with CKD, particularly in those undergoing hemodialysis with a 10 fold higher incidence of acute thrombotic events than the general population. (romanianjournalcardiology.ro)
  • A subsequent informal survey of our colleagues revealed that many anesthesia providers are unaware of the origins and incidence of this anatomical variant, and do not routinely assess patients for a symptomatic or clinically silent finding. (asahq.org)
  • FLOWer filters, captures and removes debris during TAVI, protecting patients from cerebral embolic injuries and embolism of peripheral organs. (aorticlab.ch)
  • FLOWer adoption contributes to perform safer TAVIs' procedures by reducing serious adverse events incidence, thus extending the use of the procedure itself to patients with a medium risk profile who are typically younger and have a longer life expectancy. (aorticlab.ch)
  • The risk for pressure injuries increases when patients are unable to shift their weight or move around independently. (chsbuffalo.org)
  • Surgery is often needed in patients with more severe injury to place monitors to track and treat intracranial pressure elevation, decompress the brain if intracranial pressure is increased, or remove intracranial hematomas. (msdmanuals.com)
  • Patients with less severe injuries may have no gross structural damage. (msdmanuals.com)
  • Additionally, the location of an external wound may not reliably indicate the presence or location of an internal injury. (medscape.com)
  • Extracranial internal carotid artery dissections: noniatrogenic traumatic lesions. (westerntrauma.org)
  • Internal carotid artery injury is a potentially lethal complication in transsphenoidal approach for pituitary lesion s. (neurosurgery.directory)
  • Fifty five per cent of the injuries sustained were to the internal carotid artery and 45% to the vertebral artery. (bmj.com)
  • However, it carries some risk of intraoperative arterial injuries, which is mainly attributed to direct iatrogenic rupture of the internal carotid artery (ICA). (surgicalneurologyint.com)
  • 1 29 ] One of the preoperative considerations for TSS is an exclusion of "kissing internal carotid arteries: (ICA), a rare anatomical variant and absolute contraindication for TSS. (surgicalneurologyint.com)
  • Intraoperative injuries of the internal carotid artery (ICA) have a high morbidity and mortality when they occur during trans-sphenoidal surgery. (bmj.com)
  • The internal carotid artery is the larger of the two branches. (asahq.org)
  • The internal carotid arteries have their embryonic origination in the third aortic arch and the dorsal aorta. (asahq.org)
  • Follow-up DSA 1 week later showed bilateral multifocal internal carotid artery (ICA) and vertebral artery dissections, bilateral direct CCFs and cavernous ICA PAs. (bmj.com)
  • however, carotid artery balloon angioplasty and stent placement has enjoyed significant technological advances over the last decade and can now offer a comparable treatment alternative to CEA. (radiologykey.com)
  • A basilar skull fracture occurs in about 12% of people with a severe head injury. (wikipedia.org)
  • In a severe injury the spinal cord may also be damaged. (dheerajbojwani.com)
  • Neuropathy, or nerve injury, is a severe and common impediment of diabetes. (scirp.org)
  • They typically involve bullets or sharp objects, but a skull fracture with overlying laceration due to severe blunt force is also considered an open injury. (msdmanuals.com)
  • Cervicocerebral artery dissections. (bmj.com)
  • The duplex scan has 86% sensitivity, but is limited in its ability to identify carotid artery lesions near the base of the skull. (biomedcentral.com)
  • There is anecdotal evidence suggesting that intracranial aneurysms are coincidentally found significantly more frequently in the setting of pituitary adenomas than when the incidence is compared to other intracranial neoplasms. (surgicalneurologyint.com)
  • Specific physical examination findings may include prominent scalp veins, signs of congestive heart failure (eg, vein of Galen aneurysms), or orbital bruits (eg, cavernous carotid aneurysms). (medscape.com)
  • A 32-year-old-woman presented with traumatic facial injuries from a horseback riding incident. (bmj.com)
  • A) Schematic representation of the post-traumatic ICAD suffering external compression (black arrows) from skull-base fractures and cerebral oedema from coexisting ischaemia/traumatic brain injury resulting in high ICPs. (bmj.com)
  • This study assessed the effectiveness of the P.A.R.T.Y. Program in preventing traumatic injuries during a period of 10 years (1992-2004). (narturalproduct.com)
  • Data from hospital discharge database, and provincial health claims, were searched to determine the incidence of traumatic injuries in both groups. (narturalproduct.com)
  • Conclusions: The P.A.R.T.Y. Program effectively reduced the incidence of traumatic injuries among its participants. (narturalproduct.com)
  • Traumatic brain injury (TBI) is physical injury to brain tissue that temporarily or permanently impairs brain function. (msdmanuals.com)
  • Sports-Related Concussion Sports activities are a common cause of concussion, a form of mild traumatic brain injury. (msdmanuals.com)
  • Chronic Traumatic Encephalopathy (CTE) Chronic traumatic encephalopathy (CTE) is a progressive degenerative brain disorder that may occur after repetitive head trauma or blast injuries. (msdmanuals.com)
  • Daily skin assessments, frequent patient repositioning, skin protection strategies and specialty beds have all helped to reduce the incidence of pressure injuries. (chsbuffalo.org)
  • We examined whether guidelines informed by local, rather than national, surveillance data could reduce the incidence of gonorrhea and increase the effective lifespan of antibiotics used in treatment guidelines. (cdc.gov)
  • One potential strategy to reduce the incidence of gonorrhea while extending the effective lifespan of antibiotics is to inform treatment guidelines based on local, rather than national, resistance prevalence. (cdc.gov)
  • From this circle, other arteries-the anterior cerebral artery (ACA), the middle cerebral artery (MCA) and posterior cerebral artery (PCA)-arise and travel to all parts of the brain. (physio-pedia.com)
  • MRI of the brain demonstrated multiple embolic infarcts in the left middle cerebral artery (MCA) territory, despite therapeutic anticoagulation with heparin. (bmj.com)
  • C) Postdeployment of a 3.5×23.0 mm LVIS Jr. stent (dotted line) placed from the left M1 middle cerebral artery up to the dural junction of the left ICA (green arrow). (bmj.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)
  • Due to the proximity of the cranial nerves, injury to those nerves may occur. (wikipedia.org)
  • however, there is a decreased incidence of myocardial infarction, infection, and cranial nerve injury. (radiologykey.com)
  • Cervical spine precautions are implemented with suspected spinal cord injury, but these injuries are rare. (medscape.com)
  • Evaluate and monitor the neurologic status of the patient with consideration for spinal cord injury, as well as vascular trauma with cerebral circulatory compromise. (medscape.com)
  • 2017. Iatrogenic Spinal Cord Injury Resulting From Cervical Spine Surgery. . (cornell.edu)
  • Chiropractic spinal adjusting has never been linked to injury to the carotid artery. (drjosephpengecir.com)
  • 2017. Incidence and Outcomes of Acute Implant Extrusion Following Anterior Cervical Spine Surgery. . (cornell.edu)
  • 2017. Anterior Cervical Infection: Presentation and Incidence of an Uncommon Postoperative Complication. . (cornell.edu)
  • Carotid Artery Injury in Anterior Cervical Spine Surgery: Multicenter Cohort Study and Literature Review. (cornell.edu)
  • A) Fourth DSA (8 days from injury), lateral view: coil embolisation of the PA achieved after placement of a Wingspan stent (from the petrous ICA to the distal cavernous ICA) through a scaffold created by placing an LVIS Jr. stent at the anterior genu. (bmj.com)
  • Given the low incidence of these traumas, their actual morbidity and mortality have not been clearly established in the literature. (biomedcentral.com)
  • Berne JD, Norwood SH, McAuley CE, Vallina VL, Creath RG, McLarty J. The high morbidity of blunt cerebrovascular injury in an unscreened population: more evidence of the need for mandatory screening protocols. (westerntrauma.org)
  • 2 8 9 14 ] Thus, the imputed number of iatrogenic vascular injuries encountered during TSS in the United States is approximately 18 cases per year, which is a significant cause of morbidity and mortality as well as physician liability. (surgicalneurologyint.com)
  • The unrecognized epidemic of blunt carotid arterial injuries: early diagnosis improves neurologic outcome. (westerntrauma.org)
  • Blunt carotid artery injuries: difficulties with the diagnosis prior to neurologic event. (westerntrauma.org)
  • Atherosclerosis is a diffuse, degenerative disease of the arteries that results in the formation of plaques composed of necrotic cells, lipids, and cholesterol crystals. (medscape.com)
  • Treatment of atherosclerosis of the carotid artery is dependent on the severity and degree of the disease. (medscape.com)
  • Atherosclerosis is a diffuse process with a predilection for certain arteries. (medscape.com)
  • The vascular diseases refer to any pathological condition that affects natural blood circulatory system, such as peripheral artery disease (PAD). (researchandmarkets.com)
  • The incidence of vascular diseases has increased significantly over the last few years. (researchandmarkets.com)
  • Delayed presentation of carotid intimal tear following blunt craniocervical trauma. (westerntrauma.org)
  • These results indicate that fisetin increases the expression of antioxidant PON2 via activation of PPAR γ , reducing oxidative stress, inhibiting VSMC proliferation and migration, and alleviates neointimal hyperplasia after intimal injury. (hindawi.com)
  • Treatment-related outcomes from blunt cerebrovascular injuries: the importance of routine follow-up arteriography. (westerntrauma.org)
  • Prospective screening for blunt cerebrovascular injuries: analysis of diagnostic modalities and outcomes. (westerntrauma.org)
  • Spaniolas K, Velmahos GC, Alam HB, de Moya M, Tabbara M, Sailhamer E. Does improved detection of blunt vertebral artery injuries lead to improved outcomes? (westerntrauma.org)
  • At the base of the brain, the carotid and vertebrobasilar arteries form a circle of communicating arteries known as the Circle of Willis (see image below). (physio-pedia.com)
  • Open head injuries involve penetration of the scalp and skull (and usually the meninges and underlying brain tissue). (msdmanuals.com)
  • Closed head injuries typically occur when the head is struck, strikes an object, or is shaken violently, causing rapid brain acceleration and deceleration. (msdmanuals.com)
  • The in vivo neointimal hyperplasia model was established 2 weeks after the carotid artery balloon injury in SHR rats. (hindawi.com)
  • Similarly, at the blockage, the balloon is inflated and the spring-like stent expands and locks into place inside the artery. (researchandmarkets.com)
  • They are almost exclusively observed when the carotid canal is fractured, although only a minority of carotid canal fractures result in vascular injury. (wikipedia.org)
  • Computed tomographic angiography for the diagnosis of blunt cervical vascular injury: is it ready for primetime? (westerntrauma.org)
  • Neointimal hyperplasia after vascular injury plays a critical role in the process of vascular restenosis, but the mechanism has not been fully elucidated yet [ 3 ]. (hindawi.com)
  • 25 28 38 ] However, even in the absence of this vascular configuration, the rate of intraoperative arterial injuries remains significant. (surgicalneurologyint.com)
  • Screening for blunt cerebrovascular injuries is cost-effective. (westerntrauma.org)
  • Optimizing screening for blunt cerebrovascular injuries. (westerntrauma.org)
  • Sixteen-slice computed tomographic angiography is a reliable noninvasive screening test for clinically significant blunt cerebrovascular injuries. (westerntrauma.org)
  • Noninvasive diagnosis of blunt cerebrovascular injuries: a preliminary report. (westerntrauma.org)
  • Angiogram of the descending aorta demonstrates the stenoses of FMD in the renal arteries bilaterally. (medscape.com)
  • Because these frequency figures are largely based on findings from renal studies, they may not reflect the distribution of FMD types in carotid disease. (medscape.com)
  • B) Third digital subtraction angiography (1 week from injury), lateral view: left ICAD extending from the precavernous ICA (arrowhead) to the supraclinoid segment (green arrow) with a 7 mm dissecting PA directed anterosuperiorly (red arrow) at the junction of the petrous and precavernous ICA with contrast percolation from the posterior genu forming a direct CCF (blue arrow). (bmj.com)