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Distal Cervical Carotid Artery Dissection after Carotid Endarterectomy: A Complication of Indwelling Shunt
Author(s) -
Tomonori Tamaki,
Yoji Node,
Norihiro Saito
Publication year - 2010
Publication title -
international journal of vascular medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.411
H-Index - 27
eISSN - 2090-2832
pISSN - 2090-2824
DOI - 10.1155/2010/816937
Subject(s) - medicine , carotid endarterectomy , shunt (medical) , endarterectomy , complication , surgery , carotid arteries , dissection (medical) , arterial dissection , cervical artery , internal carotid artery , radiology
The technical factors and surgical methods employed in carotid endarterectomy are controversial. In particular, whether or not to use an indwelling arterial shunt during carotid endarterectomy remains a source of conflict. We describe a rare case in which uncomplicated carotid endarterectomy was followed by distal internal carotid artery dissection and suggest that this devastating complication was due to intimal damage produced by the use of an indwelling arterial shunt.

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