Thrombosis of External Carotid Artery after Internal Artery Endarterectomy Causing Ischemic Events

Predrag Gajin; Srdjan Babic; Milorad Sevkovic; Mihailo Neskovic; Predrag Matic; Igor Atanasijevic; Nenad Ilijevski

doi:10.3889/oamjms.2022.7372

Authors

Predrag Gajin Department of Vascular Surgery, Institute for Cardiovascular Diseases “Dedinje”, Belgrade, Serbia
Srdjan Babic Department of Vascular Surgery, Institute for Cardiovascular Diseases “Dedinje”, Belgrade, Serbia
Milorad Sevkovic Department of Vascular Surgery, Institute for Cardiovascular Diseases “Dedinje”, Belgrade, Serbia
Mihailo Neskovic Department of Vascular Surgery, Institute for Cardiovascular Diseases “Dedinje”, Belgrade, Serbia
Predrag Matic Department of Vascular Surgery, Institute for Cardiovascular Diseases “Dedinje”, Belgrade, Serbia
Igor Atanasijevic Department of Vascular Surgery, Institute for Cardiovascular Diseases “Dedinje”, Belgrade, Serbia
Nenad Ilijevski Department of Vascular Surgery, Institute for Cardiovascular Diseases “Dedinje”, Belgrade, Serbia

DOI:

https://doi.org/10.3889/oamjms.2022.7372

Keywords:

Carotid, Endarterectomy, Stroke, Thrombosis, Complications

Abstract

Carotid endarterectomy (CEA) is a widespread and safe procedure associated with very little risk. Only at our hospital surgeons perform nearly 1000 of these surgeries annually, with serious complications occurring extremely rarely[1]. Cerebral ischemic events due to external carotid artery (ECA) thrombosis following a successful internal carotid artery (ICA) endarterectomy is one of such complications. We present a case of ECA thrombosis, following ICA endarterectomy that caused ischemic events.

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References

Radak D, Ilijevski N, Djukić N. Carotid surgery today: An update after 14,000 carotid endarterectomy procedures. Vojnosanit Pregl. 2016;73(5):472-9. https://doi.org/10.2298/vsp160305060r PMid:27430113 DOI: https://doi.org/10.2298/VSP160305060R

Nicolas K, Hubert L, Marie Leclère F, Etienne M, Robert M. Stroke from an external carotid: Lesion pattern and mechanisms. Ann Vasc Surg. 2016;32:129.e13-5. https://doi.org/10.1016/j.avsg.2015.09.022 PMid:26802301 DOI: https://doi.org/10.1016/j.avsg.2015.09.022

Countee RW, Vijayanathan T. External carotid artery in internal carotid artery occlusion.angiographic, therapeutic, and prognostic considerations. Stroke. 1979;10:450-60. https://doi.org/10.1161/01.STR.10.4.450 DOI: https://doi.org/10.1161/01.STR.10.4.450

Kobayashi M, Yoshida K, Kojima D, Oshida S, Fujiwara S, Ogasawara K, et al. Impact of external carotid artery occlusion at declamping of the external and common carotid arteries during carotid endarterectomy on development of new postoperative ischemic cerebral lesions. J Vasc Surg. 2019;69(2):454-61. https://doi.org/10.1016/j.jvs.2018.03.437 PMid:29960793 DOI: https://doi.org/10.1016/j.jvs.2018.03.437

Liu Q, Rhoton AL Jr. Middle meningeal origin of the ophthalmic artery. Neurosurgery. 2001;49(2):401-6. https://doi.org/10.1097/00006123-200108000-00025 PMid:11504116 DOI: https://doi.org/10.1227/00006123-200108000-00025

Smith TP. Embolization in the external carotid artery. J Vasc Interv Radiol. 2006;17(12):1897-912. DOI: https://doi.org/10.1097/01.RVI.0000247301.64269.27

Ascher E, Hingorani A, Markevich N, Schutzer R, Yorkovich WR, Kallakuri S, et al. Carotid surgery without external carotid endarterectomy: A 6-year clinical experience with 1027 cases. Eur J Vasc Endovasc Surg. 2003;25:458-61. DOI: https://doi.org/10.1053/ejvs.2002.1867

Ascer E, Gennaro M, Pollina RM, Salles-Cunha S, Lorenson E, Yorkovich WR, et al. The natural history of the external carotid artery after carotid endarterectomy: Implications for management. J Vasc Surg. 1996;23(4):582-5. https://doi.org/10.1016/s0741-5214(96)80036-x PMid:8627892 DOI: https://doi.org/10.1016/S0741-5214(96)80036-X

Archie JP Jr. The outcome of external carotid endarterectomy during routine carotid endarterectomy. J Vasc Surg. 1998;28(4):585-90. https://doi.org/10.1016/s0741-5214(98)70080-1 PMid:9786250 DOI: https://doi.org/10.1016/S0741-5214(98)70080-1