Elongated styloid process as a possible cause of distal carotid artery dissection after carotid endarterectomy using indwelling shunt: A case report

BACKGROUND: A dissection beginning from a point distal to the endpoint of the carotid endarterectomy (CEA) is called distal carotid artery dissection (CAD), which is known as one of the significant surgical complications of CEA. CASE DESCRIPTION: We present a case of distal CAD as a perioperative co...

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Autores principales: Suzuki, Tomoya, Kimura, Toshikazu, Hasegawa, Hirotaka, Irie, Koreaki, Hong, Sukwoo, Karagiozov, Kostadin, Ichi, Shunsuke
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8986758/
https://www.ncbi.nlm.nih.gov/pubmed/35399889
http://dx.doi.org/10.25259/SNI_185_2022
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author Suzuki, Tomoya
Kimura, Toshikazu
Hasegawa, Hirotaka
Irie, Koreaki
Hong, Sukwoo
Karagiozov, Kostadin
Ichi, Shunsuke
author_facet Suzuki, Tomoya
Kimura, Toshikazu
Hasegawa, Hirotaka
Irie, Koreaki
Hong, Sukwoo
Karagiozov, Kostadin
Ichi, Shunsuke
author_sort Suzuki, Tomoya
collection PubMed
description BACKGROUND: A dissection beginning from a point distal to the endpoint of the carotid endarterectomy (CEA) is called distal carotid artery dissection (CAD), which is known as one of the significant surgical complications of CEA. CASE DESCRIPTION: We present a case of distal CAD as a perioperative complication after CEA using indwelling shunt. We estimated this pathophysiology to be caused by the mechanical conflict of the inflated balloon with the elongated styloid process. CONCLUSION: Since a distal CAD can cause severe, irreversible neurological deficits, preoperative assessment of the styloid process should be routinely performed in CEA.
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spelling pubmed-89867582022-04-07 Elongated styloid process as a possible cause of distal carotid artery dissection after carotid endarterectomy using indwelling shunt: A case report Suzuki, Tomoya Kimura, Toshikazu Hasegawa, Hirotaka Irie, Koreaki Hong, Sukwoo Karagiozov, Kostadin Ichi, Shunsuke Surg Neurol Int Case Report BACKGROUND: A dissection beginning from a point distal to the endpoint of the carotid endarterectomy (CEA) is called distal carotid artery dissection (CAD), which is known as one of the significant surgical complications of CEA. CASE DESCRIPTION: We present a case of distal CAD as a perioperative complication after CEA using indwelling shunt. We estimated this pathophysiology to be caused by the mechanical conflict of the inflated balloon with the elongated styloid process. CONCLUSION: Since a distal CAD can cause severe, irreversible neurological deficits, preoperative assessment of the styloid process should be routinely performed in CEA. Scientific Scholar 2022-03-25 /pmc/articles/PMC8986758/ /pubmed/35399889 http://dx.doi.org/10.25259/SNI_185_2022 Text en Copyright: © 2022 Surgical Neurology International https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Suzuki, Tomoya
Kimura, Toshikazu
Hasegawa, Hirotaka
Irie, Koreaki
Hong, Sukwoo
Karagiozov, Kostadin
Ichi, Shunsuke
Elongated styloid process as a possible cause of distal carotid artery dissection after carotid endarterectomy using indwelling shunt: A case report
title Elongated styloid process as a possible cause of distal carotid artery dissection after carotid endarterectomy using indwelling shunt: A case report
title_full Elongated styloid process as a possible cause of distal carotid artery dissection after carotid endarterectomy using indwelling shunt: A case report
title_fullStr Elongated styloid process as a possible cause of distal carotid artery dissection after carotid endarterectomy using indwelling shunt: A case report
title_full_unstemmed Elongated styloid process as a possible cause of distal carotid artery dissection after carotid endarterectomy using indwelling shunt: A case report
title_short Elongated styloid process as a possible cause of distal carotid artery dissection after carotid endarterectomy using indwelling shunt: A case report
title_sort elongated styloid process as a possible cause of distal carotid artery dissection after carotid endarterectomy using indwelling shunt: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8986758/
https://www.ncbi.nlm.nih.gov/pubmed/35399889
http://dx.doi.org/10.25259/SNI_185_2022
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