Surgical Revascularization of Symptomatic Kinking of the Internal Carotid Artery

Ji-heng Hao, Li-yong Zhang, Kai Lin, Wei-dong Liu, Shi-gang Zhang, Ji-yue Wang, Gang Li, Lexin Wang

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Abstract

Objective: To evaluate the safety and outcomes of surgical revascularization for patients with symptomatic kinking of the internal carotid artery (ICA). Methods: Twenty-five consecutive patients presented with symptomatic kinking of the ICA and a history of transient ischemic attack (TIA) or stroke were prospectively enrolled in this study. All patients were treated with ICA transection and end-to-side reimplantation at the level of the carotid bulb. Patients were followed up for a median of 32 months. Results: There were no deaths or strokes within the 30 days of the treatment. No postprocedural thrombosis or narrowing of the ipsilateral ICA was observed. One (4%) patient had temporary recurrent nerve palsy, which was completely recovered at 4-week follow-up. One (4%) patient had a myocardial ischemic event. At the end of the 32-month follow-up, 1 (4%) patient developed ipsilateral minor stroke. No recurrent stenosis was detected by Doppler ultrasound. Conclusion: Surgical treatment for isolated, symptomatic kinking of the ICA and a history of TIA or stroke is safe, and the outcomes are acceptable.
Original languageEnglish
Pages (from-to)470-474
Number of pages5
JournalVascular and Endovascular Surgery
Volume50
Issue number7
DOIs
Publication statusPublished - Oct 2016

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