AI Article Synopsis

  • Retropharyngeal carotid artery occlusive disease is challenging for surgeons due to its difficult location and higher risk of complications.
  • Traditional treatments like open revascularization and transfemoral stenting have limitations in effectiveness.
  • Transcarotid artery revascularization (TCAR) is presented as a safer alternative, combining surgical and endovascular techniques, with a case study of an elderly patient demonstrating its effectiveness.

Article Abstract

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.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11525444PMC
http://dx.doi.org/10.1016/j.jvscit.2024.101630DOI Listing

Publication Analysis

Top Keywords

retropharyngeal carotid
12
carotid artery
12
transcarotid artery
8
transfemoral stenting
8
artery
5
artery stenosis
4
stenosis potential
4
potential minimizing
4
minimizing operative
4
operative complications
4

Similar Publications

Aberrant carotid arteries are rare vascular anomalies that can significantly complicate head and neck surgeries, particularly in pediatric patients. These anomalies may be asymptomatic and are often discovered incidentally on imaging studies performed for unrelated conditions. The failure to recognize these anomalies preoperatively can result in life-threatening complications, such as catastrophic hemorrhage.

View Article and Find Full Text PDF

Introduction And Importance: Carotid body tumors are rare neoplasms originating from neural crest cells, commonly presenting as a painless, slow-growing mass in the lateral neck. The retropharyngeal variant of these tumors is particularly uncommon, with an incidence of approximately 2.6 %.

View Article and Find Full Text PDF
Article Synopsis
  • Retropharyngeal carotid artery occlusive disease is challenging for surgeons due to its difficult location and higher risk of complications.
  • Traditional treatments like open revascularization and transfemoral stenting have limitations in effectiveness.
  • Transcarotid artery revascularization (TCAR) is presented as a safer alternative, combining surgical and endovascular techniques, with a case study of an elderly patient demonstrating its effectiveness.
View Article and Find Full Text PDF

Effective surgical drainage of a massive retropharyngeal abscess via an incision in the posterior wall of the oropharynx under local anesthesia.

Int J Surg Case Rep

October 2024

Department of Otorhinolaryngology, Al Mouwasat University Hospital, Faculty of Medicine, Damascus University, Damascus, Syria.

Introduction: A retropharyngeal abscess is a deep neck infection, uncommon in adults but more prevalent in children. This report details a rare case of a huge retropharyngeal abscess in an adult female, effectively managed by an incision in the posterior oropharyngeal wall under local anesthesia.

Case Presentation: A 76-year-old woman with hypertension, diabetes, ischemic heart disease, and total thyroidectomy presented with sudden neck swelling, dyspnea, stridor, and dysphagia.

View Article and Find Full Text PDF

The atypical congenital pathway of the internal carotid artery (ICA) is an uncommon anatomical variation with a very low prevalence. The medialization of the internal carotid artery is regarded as an infrequent manifestation. The internal carotid artery may be displaced at the level of the pharyngeal wall, leading to the enlargement of connective tissue in the lateral pharynx and retropharyngeal areas.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!