Bilateral Carotid Stenosis in a Patient with Previous Neck Surgery: Difficulties in Endarterectomy

Bilateral Carotid Stenosis in a Patient with Previous Neck Surgery: Difficulties in Endarterectomy

Carotid stenosis is an important cause of recurrent transient ischemic attacks and stroke. Carotid stenting and endarterectomy are considered equally effective in treating this condition. We report a patient with recurrent TIA and bilateral carotid stenosis who had undergone anterior cervical diskec...

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Veröffentlicht in:Journal of stroke medicine 2022-06, Vol.5 (1), p.69-70
Hauptverfasser: Elavarasi, Arunmozhimaran, Narayan, Sunil K., Chandran, Sai, Rath, Durga Prasad
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Back surgery
Carotid arteries
Spinal stenosis
Stroke
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container_issue 1
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container_title Journal of stroke medicine
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creator Elavarasi, Arunmozhimaran
Narayan, Sunil K.
Chandran, Sai
Rath, Durga Prasad
description Carotid stenosis is an important cause of recurrent transient ischemic attacks and stroke. Carotid stenting and endarterectomy are considered equally effective in treating this condition. We report a patient with recurrent TIA and bilateral carotid stenosis who had undergone anterior cervical diskectomy and fusion and who was found to have fibrous bands encasing the right carotid artery. He was treated with endarterectomy on the left side and carotid stenting on the right side. With the widespread availability of procedures like carotid endarterectomy, more older people would undergo this surgery, who might have undergone anterior cervical surgery. Prior neck surgery and adhesions may lead to altered anatomy, risk of increased blood loss, and surgical complications. In such cases, carotid stenting could be an alternative to endarterectomy.
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subjects Back surgery
Carotid arteries
Spinal stenosis
Stroke
title Bilateral Carotid Stenosis in a Patient with Previous Neck Surgery: Difficulties in Endarterectomy
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