Distal cervical internal carotid artery stenosis

Awasthi, Deepak and Smith, Roger (1994) Distal cervical internal carotid artery stenosis. Skull Base Surgery, 4 2: 110-115. doi:10.1055/s-2008-1058980


Author Awasthi, Deepak
Smith, Roger
Title Distal cervical internal carotid artery stenosis
Journal name Skull Base Surgery   Check publisher's open access policy
ISSN 1052-1453
1098-9072
Publication date 1994-04
Sub-type Article (original research)
DOI 10.1055/s-2008-1058980
Volume 4
Issue 2
Start page 110
End page 115
Total pages 6
Place of publication New York, NY, United States
Publisher Thieme Medical Publishers
Language eng
Abstract This report describes a case of distal cervical internal carotid artery (ICA) occlusive lesion managed by saphenous interposition vein graft after exposure of the ICA up to the skull base. The skull base approach described herein emphasizes the mobilization of the mandible without mandibular osteotomy or disarticulation. Instead, the stylomandibular and stylosphenoidal ligaments are resected to allow mandibular mobilization. In addition, the distal ICA lesion represented a form of diffuse intimal thickening without any plaque formation. This required the resection of the thickened stenotic segment and reconstruction of the distal cervical ICA with a saphenous interposition graft. The surgical management implications of diffuse intimal thickening are discussed.
Keyword Management
Exposure
Lesions
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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