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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http://dx.doi.org/10.1016/j.jvscit.2024.101630 | DOI Listing |
Cureus
November 2024
Otolaryngology, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, USA.
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 PDFInt J Surg Case Rep
January 2025
Student Research Committee, Faculty of Medicine, Iran University of Medical Science, Tehran, Iran.
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 PDFJ Vasc Surg Cases Innov Tech
December 2024
Department of Surgery, Midwestern University, Glendale, AZ.
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.
Cureus
July 2024
Otolaryngology - Head and Neck Surgery, Maternity and Children Hospital, Makkah, SAU.
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.
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