咽后颈动脉狭窄；利用经颈动脉支架血管重建术最大限度减少手术并发症的潜力

IF 0.7 Q4 SURGERY

Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2024-09-13 DOI:10.1016/j.jvscit.2024.101630

Hani Shennib MD , Victor Huerta DO

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引用次数: 0

摘要

咽后颈动脉闭塞症由于其解剖位置和并发症的可能性增加，给外科医生带来了严峻的挑战。传统的治疗方法，包括开放性血管重建术和经股动脉支架植入术，往往面临种种限制。经颈动脉血运重建术（TCAR）提供了一种很有前景的替代方案，它整合了外科手术和血管内治疗的混合方法。我们介绍了一例咽后颈动脉严重症状性狭窄的老年患者接受 TCAR 治疗的病例。我们回顾了在这种情况下使用经股动脉支架和内膜剥脱术可能造成的损伤，并认为 TCAR 可能是一种更安全的治疗方式。

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Retropharyngeal carotid artery stenosis; potential for minimizing operative complications utilizing transcarotid artery stent revascularization

Retropharyngeal carotid artery occlusive disease presents a formidable challenge for surgeons due to its anatomic location and increased potential for complications. Conventional treatments, including open revascularization and transfemoral stenting, often face limitations. Transcarotid artery revascularization (TCAR) has offered a promising alternative, integrating a hybrid surgical and endovascular approach. We present a case of an elderly patient with severe symptomatic stenosis of a retropharyngeal carotid artery treated with TCAR. We review the potential injuries reported with the use of transfemoral stenting and endarterectomy in this setting and suggest that TCAR may be a safer modality for its treatment.

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来源期刊

Journal of Vascular Surgery Cases Innovations and Techniques SURGERY-

CiteScore

1.00

自引率

14.30%

发文量

219

审稿时长

29 weeks

期刊介绍： Journal of Vascular Surgery Cases and Innovative Techniques is a surgical journal dedicated to publishing peer review high quality case reports, vascular images and innovative techniques related to all aspects of arterial, venous, and lymphatic diseases and disorders, including vascular trauma, malformations, wound care and the placement and maintenance of arterio-venous dialysis accesses with an emphasis on the practicing clinician. The Journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals involved with the management of patients with the entire spectrum of vascular disorders.