Cargando…
Common Carotid Artery Occlusion: A Case Series
Subjects and Methods. We analysed 5000 cerebrovascular ultrasound records. A total of 0.4% of the patients had common carotid artery occlusion (CCAO). Results. The mean age was 59.8 ± 14.2 years, and the male/female ratio was 2.33. The most frequent risk factors were hypertension, ischaemic heart di...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2013
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3791643/ https://www.ncbi.nlm.nih.gov/pubmed/24167740 http://dx.doi.org/10.1155/2013/198595 |
_version_ | 1782286749171449856 |
---|---|
author | Bajkó, Zoltán Bălaşa, Rodica Moţăţăianu, Anca Maier, Smaranda Chebuţ, Octavia Claudia Szatmári, Szabolcs |
author_facet | Bajkó, Zoltán Bălaşa, Rodica Moţăţăianu, Anca Maier, Smaranda Chebuţ, Octavia Claudia Szatmári, Szabolcs |
author_sort | Bajkó, Zoltán |
collection | PubMed |
description | Subjects and Methods. We analysed 5000 cerebrovascular ultrasound records. A total of 0.4% of the patients had common carotid artery occlusion (CCAO). Results. The mean age was 59.8 ± 14.2 years, and the male/female ratio was 2.33. The most frequent risk factors were hypertension, ischaemic heart disease, dyslipidemia, diabetes mellitus, and smoking. Right-sided and left-sided CCAO occurred in 65% and 30% of the cases, respectively, and bilateral occlusion was detected in one case (5%). Patent bifurcation was observed in 10 cases of CCAO in which the anterograde flow in the ICA was maintained from the external carotid artery with reversed flow. In two of the cases, the occluded CCA was hypoplastic. The aetiology of CCAO in the majority of cases was the atherosclerosis (15 cases). The male/female ratio was higher in the patients with occluded distal vessels, and the short-term outcome was poorer. Only two cases from this series underwent revascularisation surgery. Spontaneous recanalisation was observed in one case. Conclusions. The most frequent cause of CCAO was atherosclerosis. The outcome is improved in the cases with patent distal vessels, and spontaneous recanalisation is possible. Treatment methods have not been standardised. Surgical revascularisation is possible in cases of patent distal vessels, but the indications are debatable. |
format | Online Article Text |
id | pubmed-3791643 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-37916432013-10-28 Common Carotid Artery Occlusion: A Case Series Bajkó, Zoltán Bălaşa, Rodica Moţăţăianu, Anca Maier, Smaranda Chebuţ, Octavia Claudia Szatmári, Szabolcs ISRN Neurol Research Article Subjects and Methods. We analysed 5000 cerebrovascular ultrasound records. A total of 0.4% of the patients had common carotid artery occlusion (CCAO). Results. The mean age was 59.8 ± 14.2 years, and the male/female ratio was 2.33. The most frequent risk factors were hypertension, ischaemic heart disease, dyslipidemia, diabetes mellitus, and smoking. Right-sided and left-sided CCAO occurred in 65% and 30% of the cases, respectively, and bilateral occlusion was detected in one case (5%). Patent bifurcation was observed in 10 cases of CCAO in which the anterograde flow in the ICA was maintained from the external carotid artery with reversed flow. In two of the cases, the occluded CCA was hypoplastic. The aetiology of CCAO in the majority of cases was the atherosclerosis (15 cases). The male/female ratio was higher in the patients with occluded distal vessels, and the short-term outcome was poorer. Only two cases from this series underwent revascularisation surgery. Spontaneous recanalisation was observed in one case. Conclusions. The most frequent cause of CCAO was atherosclerosis. The outcome is improved in the cases with patent distal vessels, and spontaneous recanalisation is possible. Treatment methods have not been standardised. Surgical revascularisation is possible in cases of patent distal vessels, but the indications are debatable. Hindawi Publishing Corporation 2013-09-16 /pmc/articles/PMC3791643/ /pubmed/24167740 http://dx.doi.org/10.1155/2013/198595 Text en Copyright © 2013 Zoltán Bajkó et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Bajkó, Zoltán Bălaşa, Rodica Moţăţăianu, Anca Maier, Smaranda Chebuţ, Octavia Claudia Szatmári, Szabolcs Common Carotid Artery Occlusion: A Case Series |
title | Common Carotid Artery Occlusion: A Case Series |
title_full | Common Carotid Artery Occlusion: A Case Series |
title_fullStr | Common Carotid Artery Occlusion: A Case Series |
title_full_unstemmed | Common Carotid Artery Occlusion: A Case Series |
title_short | Common Carotid Artery Occlusion: A Case Series |
title_sort | common carotid artery occlusion: a case series |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3791643/ https://www.ncbi.nlm.nih.gov/pubmed/24167740 http://dx.doi.org/10.1155/2013/198595 |
work_keys_str_mv | AT bajkozoltan commoncarotidarteryocclusionacaseseries AT balasarodica commoncarotidarteryocclusionacaseseries AT motataianuanca commoncarotidarteryocclusionacaseseries AT maiersmaranda commoncarotidarteryocclusionacaseseries AT chebutoctaviaclaudia commoncarotidarteryocclusionacaseseries AT szatmariszabolcs commoncarotidarteryocclusionacaseseries |