A Case of Common Carotid Artery Occlusion: A Unique Pattern of Occlusion and Lessons Learned

Common carotid artery occlusion (CCAO) is a rare cause of cerebrovascular events. For patients with neurological deficits due to emboli from an occluded common carotid artery, ligation of the ipsilateral internal carotid may appear as a simple therapeutic option, provided there is adequate collatera...

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Detalles Bibliográficos
Autores principales: Gunawardena, Thilina, Godakandage, Manujaya, Abeywickrama, Sachith, Saseekaran, Balasubramaniyam, Cassim, Rezni, Wijeyaratne, Mandika
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8958408/
https://www.ncbi.nlm.nih.gov/pubmed/35432656
http://dx.doi.org/10.3400/avd.cr.21-00080
Descripción
Sumario:Common carotid artery occlusion (CCAO) is a rare cause of cerebrovascular events. For patients with neurological deficits due to emboli from an occluded common carotid artery, ligation of the ipsilateral internal carotid may appear as a simple therapeutic option, provided there is adequate collateral circulation. Here, we describe a patient with an unusual pattern of CCAO, who underwent ligation of the internal carotid artery after a successful test occlusion with a hypotensive challenge. He suffered a delayed stroke. This case report aims to highlight the unique pattern of CCAO in this patient and our experience with his management.

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