Carotid Artery-Related Perioperative Stroke Following Anterior Cervical Spine Surgery: A Series of 3 Cases and Literature Review
Vascular complications following anterior cervical spine surgery are rare but potentially devastating. Complications associated with the carotid artery are even more disastrous but largely anecdotal, with no more than 4 reported cases. We report 3 new cases of carotid artery-related perioperative st...
Gespeichert in:
| Veröffentlicht in: | Journal of stroke and cerebrovascular diseases 2019-02, Vol.28 (2), p.458-463 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 463 |
|---|---|
| container_issue | 2 |
| container_start_page | 458 |
| container_title | Journal of stroke and cerebrovascular diseases |
| container_volume | 28 |
| creator | Du, Yue-Qi Duan, Wan-Ru Chen, Zan Wu, Hao Jian, Feng-Zeng |
| description | Vascular complications following anterior cervical spine surgery are rare but potentially devastating. Complications associated with the carotid artery are even more disastrous but largely anecdotal, with no more than 4 reported cases.
We report 3 new cases of carotid artery-related perioperative stroke following anterior cervical spine surgery. All 3 patients had carotid artery atherosclerosis and the time of intraoperative carotid artery retraction was longer than 1 hour. One patient underwent hypotension during surgery. Risk factors as well as prevention and management protocols of carotid artery-related perioperative stroke based on the literature review and our clinical experience are discussed.
Carotid artery-related perioperative stroke following anterior cervical spine surgery is extremely rare. Prolonged traction, carotid artery atherosclerosis, and intraoperative hypotension can produce cerebral hypoperfusion and cause ischemic stroke. Preoperative risk assessment, adequate perioperative manipulation, and postoperative management can minimize overall morbidity and mortality. |
| doi_str_mv | 10.1016/j.jstrokecerebrovasdis.2018.10.024 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2132223769</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S1052305718306049</els_id><sourcerecordid>2132223769</sourcerecordid><originalsourceid>FETCH-LOGICAL-c470t-35b412538046c69747b6e4b25a4cc4cf80b64f698f74403f222e8214ba52e19f3</originalsourceid><addsrcrecordid>eNqVkUtv1DAUhS1ERUvLX0BeIqQMfubBbogoII1E1Slry3FuKg-ZeLh2puqOn47DFFZsWPkuPn1HPoeQt5ytOOPlu91qFxOG7-AAocNwtLH3cSUYrzOwYkI9IxdcS1HUmvPn-WZaFJLp6py8jHHHGOe61i_IuWSKS9HwC_KztRiS7-kaE-BjcQujTdDTG0AfDoA2-SPQ7e9Yeh3GMTz46Z6up7QASFvAo3d2pNuDnzI4433WvKdrus0ARBoGKmlrYz7t1NONT4t0RqC3cPTwcEXOBjtGePX0XpJv1x_v2s_F5uunL-16UzhVsVRI3SkutKyZKl3ZVKrqSlCd0FY5p9xQs65UQ9nUQ6UUk4MQAmrBVWe1AN4M8pK8OXkPGH7MEJPZ--hgHO0EYY5G5EKEkFXZZPTDCXUYYkQYzAH93uKj4cwsS5id-dcSZlliYfISWfL6KW_u9tD_VfypPgObEwD517kJNNF5mBz0HsEl0wf_P3m_ANcsqPk</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2132223769</pqid></control><display><type>article</type><title>Carotid Artery-Related Perioperative Stroke Following Anterior Cervical Spine Surgery: A Series of 3 Cases and Literature Review</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Du, Yue-Qi ; Duan, Wan-Ru ; Chen, Zan ; Wu, Hao ; Jian, Feng-Zeng</creator><creatorcontrib>Du, Yue-Qi ; Duan, Wan-Ru ; Chen, Zan ; Wu, Hao ; Jian, Feng-Zeng</creatorcontrib><description>Vascular complications following anterior cervical spine surgery are rare but potentially devastating. Complications associated with the carotid artery are even more disastrous but largely anecdotal, with no more than 4 reported cases.
We report 3 new cases of carotid artery-related perioperative stroke following anterior cervical spine surgery. All 3 patients had carotid artery atherosclerosis and the time of intraoperative carotid artery retraction was longer than 1 hour. One patient underwent hypotension during surgery. Risk factors as well as prevention and management protocols of carotid artery-related perioperative stroke based on the literature review and our clinical experience are discussed.
Carotid artery-related perioperative stroke following anterior cervical spine surgery is extremely rare. Prolonged traction, carotid artery atherosclerosis, and intraoperative hypotension can produce cerebral hypoperfusion and cause ischemic stroke. Preoperative risk assessment, adequate perioperative manipulation, and postoperative management can minimize overall morbidity and mortality.</description><identifier>ISSN: 1052-3057</identifier><identifier>EISSN: 1532-8511</identifier><identifier>DOI: 10.1016/j.jstrokecerebrovasdis.2018.10.024</identifier><identifier>PMID: 30413291</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged, 80 and over ; anterior surgery ; carotid artery ; Carotid Stenosis - complications ; Carotid Stenosis - diagnostic imaging ; Carotid Stenosis - therapy ; Cerebral Angiography - methods ; Cervical spine ; Cervical Vertebrae - surgery ; Computed Tomography Angiography ; Diffusion Magnetic Resonance Imaging ; Female ; Humans ; ischemic stroke ; Male ; Middle Aged ; Operative Time ; Orthopedic Procedures - adverse effects ; Risk Factors ; Stroke - diagnostic imaging ; Stroke - etiology ; Stroke - therapy ; Time Factors ; vascular complication</subject><ispartof>Journal of stroke and cerebrovascular diseases, 2019-02, Vol.28 (2), p.458-463</ispartof><rights>2018</rights><rights>Copyright © 2018. Published by Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c470t-35b412538046c69747b6e4b25a4cc4cf80b64f698f74403f222e8214ba52e19f3</citedby><cites>FETCH-LOGICAL-c470t-35b412538046c69747b6e4b25a4cc4cf80b64f698f74403f222e8214ba52e19f3</cites><orcidid>0000-0001-7860-278X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1052305718306049$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30413291$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Du, Yue-Qi</creatorcontrib><creatorcontrib>Duan, Wan-Ru</creatorcontrib><creatorcontrib>Chen, Zan</creatorcontrib><creatorcontrib>Wu, Hao</creatorcontrib><creatorcontrib>Jian, Feng-Zeng</creatorcontrib><title>Carotid Artery-Related Perioperative Stroke Following Anterior Cervical Spine Surgery: A Series of 3 Cases and Literature Review</title><title>Journal of stroke and cerebrovascular diseases</title><addtitle>J Stroke Cerebrovasc Dis</addtitle><description>Vascular complications following anterior cervical spine surgery are rare but potentially devastating. Complications associated with the carotid artery are even more disastrous but largely anecdotal, with no more than 4 reported cases.
We report 3 new cases of carotid artery-related perioperative stroke following anterior cervical spine surgery. All 3 patients had carotid artery atherosclerosis and the time of intraoperative carotid artery retraction was longer than 1 hour. One patient underwent hypotension during surgery. Risk factors as well as prevention and management protocols of carotid artery-related perioperative stroke based on the literature review and our clinical experience are discussed.
Carotid artery-related perioperative stroke following anterior cervical spine surgery is extremely rare. Prolonged traction, carotid artery atherosclerosis, and intraoperative hypotension can produce cerebral hypoperfusion and cause ischemic stroke. Preoperative risk assessment, adequate perioperative manipulation, and postoperative management can minimize overall morbidity and mortality.</description><subject>Aged, 80 and over</subject><subject>anterior surgery</subject><subject>carotid artery</subject><subject>Carotid Stenosis - complications</subject><subject>Carotid Stenosis - diagnostic imaging</subject><subject>Carotid Stenosis - therapy</subject><subject>Cerebral Angiography - methods</subject><subject>Cervical spine</subject><subject>Cervical Vertebrae - surgery</subject><subject>Computed Tomography Angiography</subject><subject>Diffusion Magnetic Resonance Imaging</subject><subject>Female</subject><subject>Humans</subject><subject>ischemic stroke</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Operative Time</subject><subject>Orthopedic Procedures - adverse effects</subject><subject>Risk Factors</subject><subject>Stroke - diagnostic imaging</subject><subject>Stroke - etiology</subject><subject>Stroke - therapy</subject><subject>Time Factors</subject><subject>vascular complication</subject><issn>1052-3057</issn><issn>1532-8511</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkUtv1DAUhS1ERUvLX0BeIqQMfubBbogoII1E1Slry3FuKg-ZeLh2puqOn47DFFZsWPkuPn1HPoeQt5ytOOPlu91qFxOG7-AAocNwtLH3cSUYrzOwYkI9IxdcS1HUmvPn-WZaFJLp6py8jHHHGOe61i_IuWSKS9HwC_KztRiS7-kaE-BjcQujTdDTG0AfDoA2-SPQ7e9Yeh3GMTz46Z6up7QASFvAo3d2pNuDnzI4433WvKdrus0ARBoGKmlrYz7t1NONT4t0RqC3cPTwcEXOBjtGePX0XpJv1x_v2s_F5uunL-16UzhVsVRI3SkutKyZKl3ZVKrqSlCd0FY5p9xQs65UQ9nUQ6UUk4MQAmrBVWe1AN4M8pK8OXkPGH7MEJPZ--hgHO0EYY5G5EKEkFXZZPTDCXUYYkQYzAH93uKj4cwsS5id-dcSZlliYfISWfL6KW_u9tD_VfypPgObEwD517kJNNF5mBz0HsEl0wf_P3m_ANcsqPk</recordid><startdate>201902</startdate><enddate>201902</enddate><creator>Du, Yue-Qi</creator><creator>Duan, Wan-Ru</creator><creator>Chen, Zan</creator><creator>Wu, Hao</creator><creator>Jian, Feng-Zeng</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7860-278X</orcidid></search><sort><creationdate>201902</creationdate><title>Carotid Artery-Related Perioperative Stroke Following Anterior Cervical Spine Surgery: A Series of 3 Cases and Literature Review</title><author>Du, Yue-Qi ; Duan, Wan-Ru ; Chen, Zan ; Wu, Hao ; Jian, Feng-Zeng</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c470t-35b412538046c69747b6e4b25a4cc4cf80b64f698f74403f222e8214ba52e19f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Aged, 80 and over</topic><topic>anterior surgery</topic><topic>carotid artery</topic><topic>Carotid Stenosis - complications</topic><topic>Carotid Stenosis - diagnostic imaging</topic><topic>Carotid Stenosis - therapy</topic><topic>Cerebral Angiography - methods</topic><topic>Cervical spine</topic><topic>Cervical Vertebrae - surgery</topic><topic>Computed Tomography Angiography</topic><topic>Diffusion Magnetic Resonance Imaging</topic><topic>Female</topic><topic>Humans</topic><topic>ischemic stroke</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Operative Time</topic><topic>Orthopedic Procedures - adverse effects</topic><topic>Risk Factors</topic><topic>Stroke - diagnostic imaging</topic><topic>Stroke - etiology</topic><topic>Stroke - therapy</topic><topic>Time Factors</topic><topic>vascular complication</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Du, Yue-Qi</creatorcontrib><creatorcontrib>Duan, Wan-Ru</creatorcontrib><creatorcontrib>Chen, Zan</creatorcontrib><creatorcontrib>Wu, Hao</creatorcontrib><creatorcontrib>Jian, Feng-Zeng</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of stroke and cerebrovascular diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Du, Yue-Qi</au><au>Duan, Wan-Ru</au><au>Chen, Zan</au><au>Wu, Hao</au><au>Jian, Feng-Zeng</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Carotid Artery-Related Perioperative Stroke Following Anterior Cervical Spine Surgery: A Series of 3 Cases and Literature Review</atitle><jtitle>Journal of stroke and cerebrovascular diseases</jtitle><addtitle>J Stroke Cerebrovasc Dis</addtitle><date>2019-02</date><risdate>2019</risdate><volume>28</volume><issue>2</issue><spage>458</spage><epage>463</epage><pages>458-463</pages><issn>1052-3057</issn><eissn>1532-8511</eissn><abstract>Vascular complications following anterior cervical spine surgery are rare but potentially devastating. Complications associated with the carotid artery are even more disastrous but largely anecdotal, with no more than 4 reported cases.
We report 3 new cases of carotid artery-related perioperative stroke following anterior cervical spine surgery. All 3 patients had carotid artery atherosclerosis and the time of intraoperative carotid artery retraction was longer than 1 hour. One patient underwent hypotension during surgery. Risk factors as well as prevention and management protocols of carotid artery-related perioperative stroke based on the literature review and our clinical experience are discussed.
Carotid artery-related perioperative stroke following anterior cervical spine surgery is extremely rare. Prolonged traction, carotid artery atherosclerosis, and intraoperative hypotension can produce cerebral hypoperfusion and cause ischemic stroke. Preoperative risk assessment, adequate perioperative manipulation, and postoperative management can minimize overall morbidity and mortality.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>30413291</pmid><doi>10.1016/j.jstrokecerebrovasdis.2018.10.024</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0001-7860-278X</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1052-3057 |
| ispartof | Journal of stroke and cerebrovascular diseases, 2019-02, Vol.28 (2), p.458-463 |
| issn | 1052-3057 1532-8511 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2132223769 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Aged, 80 and over anterior surgery carotid artery Carotid Stenosis - complications Carotid Stenosis - diagnostic imaging Carotid Stenosis - therapy Cerebral Angiography - methods Cervical spine Cervical Vertebrae - surgery Computed Tomography Angiography Diffusion Magnetic Resonance Imaging Female Humans ischemic stroke Male Middle Aged Operative Time Orthopedic Procedures - adverse effects Risk Factors Stroke - diagnostic imaging Stroke - etiology Stroke - therapy Time Factors vascular complication |
| title | Carotid Artery-Related Perioperative Stroke Following Anterior Cervical Spine Surgery: A Series of 3 Cases and Literature Review |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-08T16%3A54%3A39IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Carotid%20Artery-Related%20Perioperative%20Stroke%20Following%20Anterior%20Cervical%20Spine%20Surgery:%20A%20Series%20of%203%20Cases%20and%20Literature%20Review&rft.jtitle=Journal%20of%20stroke%20and%20cerebrovascular%20diseases&rft.au=Du,%20Yue-Qi&rft.date=2019-02&rft.volume=28&rft.issue=2&rft.spage=458&rft.epage=463&rft.pages=458-463&rft.issn=1052-3057&rft.eissn=1532-8511&rft_id=info:doi/10.1016/j.jstrokecerebrovasdis.2018.10.024&rft_dat=%3Cproquest_cross%3E2132223769%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2132223769&rft_id=info:pmid/30413291&rft_els_id=S1052305718306049&rfr_iscdi=true |