Abstract：
:Exposure of the distal internal carotid artery (ICA) above the level of the second cervical vertebra can be difficult and often require maneuvers such as division of the digastric muscle or mandibular subluxation. These techniques increase exposure but may not provide adequate access. We report a series of eight cases in which vertical division of the mandibular ramus provided access of the ICA up to the base of the skull. Over the last 10 years, eight patients underwent vertical ramus osteotomy (VRO) to aid in distal ICA exposure. Preoperative arteriography revealed ICA lesions within 1.5 cm of the skull base. Indications for surgery were compelling and included gunshot wounds to zone III of the neck (n = 2), transient ischemic attack (n = 2), and preocclusive stenosis (n = 4). VRO was performed through a standard vertical neck incision and was created from the depth of the sigmoid notch to the angle of the mandible after elevating the masseter muscle from the bone. Miniature titanium plates were used to reapproximate the mandible after endarterectomy (n = 5), bypass (n = 2), or arterial repair (n = 1). We found that VRO provides reliable exposure of the distal ICA up to the base of the skull. Unlike mandibular subluxation, it requires no pre-incision preparation, thus mandibulotomy can be performed after carotid artery dissection has begun, and may even be avoided. VRO is especially useful when carotid artery pathology unexpectedly extends beyond the usual field of exposure. Work on the carotid artery at the skull base is associated with significant complications and should be reserved for compelling indications.
journal_name
Ann Vasc Surgjournal_title
Annals of vascular surgeryauthors
Kumins NH,Tober JC,Larsen PE,Smead WLdoi
10.1007/s100160010010subject
Has Abstractpub_date
2001-01-01 00:00:00pages
25-31issue
1eissn
0890-5096issn
1615-5947pii
S0890-5096(06)61957-2journal_volume
15pub_type
杂志文章abstract：BACKGROUND:The endovascular approach has been widely used for aortoiliac occlusive disease (AIOD), especially for aortic bifurcation and iliac artery Trans-Atlantic Inter-Society Consensus II (TASC-II) A and B lesions. However, the outcomes of self-expanding covered stents (SECSs) for extensive aortoiliac lesion remain...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1016/j.avsg.2020.04.055
更新日期：2020-10-01 00:00:00
abstract：:Ruptured abdominal aortic aneurysm (AAA) remains a common and highly lethal problem. This study evaluates the morbidity and mortality rates and aims to identify which clinical variables could predict the outcome. We reviewed the records of 112 patients (97 men and 15 women) operated on for ruptured infrarenal AAA with...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1007/BF02018826
更新日期：1995-11-01 00:00:00
abstract：:A case-control study was undertaken to determine if asymptomatic carotid artery stenosis (ACS) is independently associated with ipsilateral hemispheric stroke following cardiac surgery (CS). All CS patients (3069) who were at two hospitals between 1989 and 1994 were reviewed. Cases (31) selected for this study were th...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1007/s100169910036
更新日期：2000-05-01 00:00:00
abstract：:Primary popliteal venous aneurysm is a rare condition. To date, approximately 150 cases have been reported. In the present article, we report a 59-year-old man who presented with a swelling of the left popliteal fossa. Duplex ultrasound scan revealed a saccular aneurysm of the popliteal vein, with a diameter of 2.5 × ...
journal_title：Annals of vascular surgery
pub_type： 杂志文章,评审
doi：10.1016/j.avsg.2011.11.027
更新日期：2012-07-01 00:00:00
abstract：BACKGROUND:The treatment for bilateral carotid stenosis (BCS) is challenging, and the optimal treatment strategy is not clear. We report our experience of treating 8 patients with BCS by simultaneous carotid endarterectomy (CEA) and carotid stenting (CAS), thereby providing an alternative for vascular surgeons. METHOD...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1016/j.avsg.2015.11.017
更新日期：2016-05-01 00:00:00
abstract：:Internal jugular vein (IJV) thrombosis is a rare vascular event. The most common causes of internal jugular vein thrombosis are prolonged central venous catheterization, infection, malignancy and ovarian hyperstimulation syndrome. We have presented here a case of an 82-year-old male with chronic kidney disease who pre...
journal_title：Annals of vascular surgery
pub_type：
doi：10.1016/j.avsg.2019.08.074
更新日期：2020-01-01 00:00:00
abstract：BACKGROUND:This study is to investigate the causes, treatment methods, and preventive measures of retrograde type A aortic dissection (RAAD) complicating thoracic endovascular aortic repair (TEVAR) for type B aortic dissection (TBAD). METHODS:From January 2005 to December 2013, 360 TBAD patients receiving TEVAR were e...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1016/j.avsg.2015.09.028
更新日期：2016-04-01 00:00:00
abstract：BACKGROUND:The aim of this study was to compare the adverse effects of iodixanol and iopamidol in terms of patient's discomfort in subjects undergoing carotid artery stenting (CAS). METHODS:We retrospectively analyzed data of all successful CAS procedures performed in our department during a 15-year period study. All ...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1016/j.avsg.2016.04.018
更新日期：2017-02-01 00:00:00
abstract：:Arterial aneurysm formation occurs in 15 to 20% of patients with Takayasu's disease. The timing of surgical intervention of these aneurysms is controversial. A case of ectasia of the descending thoracic aorta in a patient with Takayasu's disease is presented. The diagnosis and timing of surgical intervention of aneury...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1007/BF02133055
更新日期：1991-09-01 00:00:00
abstract：:Infected abdominal aortic grafts rank as one of the most severe complications of vascular surgery, with high mortality and morbidity. The incidence of infection after prosthetic aortic reconstruction is 1-3%. Diagnosis of vascular graft infection can be occasionally difficult. Clinical manifestations and assessment of...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1016/j.avsg.2007.03.018
更新日期：2007-09-01 00:00:00
abstract：BACKGROUND:Type Ia endoleak may lead to continuous sac pressurization and late rupture after endovascular aneurysm repair (EVAR). Nevertheless, there have been scarce reports suggesting that these endoleaks may occasionally present spontaneous sealing. Taking into account the original sealing mechanism of the Ovation e...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1016/j.avsg.2018.04.041
更新日期：2019-01-01 00:00:00
abstract：:Reported patency rates for paramalleolar bypass grafts have varied widely. To determine factors predictive of outcome, we reviewed our experience with 80 consecutive paramalleolar reconstructions in 68 patients performed between December 1986 and May 1995. All procedures were performed for critical limb ischemia defin...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1007/BF02286779
更新日期：1996-07-01 00:00:00
abstract：:This study evaluates the hemodynamic effects and safety of saline irrigation necessary to obtain high-quality completion angioscopic studies, as compared with standard completion arteriography during infrainguinal bypass grafting. One-hundred ten patients undergoing primary infrainguinal bypass grafting, were prospect...
journal_title：Annals of vascular surgery
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1007/BF02000670
更新日期：1992-01-01 00:00:00
abstract：BACKGROUND:A number of surgical strategies and graft enhancements have been trialled to improve the performance of prosthetic grafts. Neointimal hyperplasia may, in part, be a normal cellular response to an abnormal (turbulent) flow environment. This first-in-many study assesses the safety and medium-term patency perfo...
journal_title：Annals of vascular surgery
pub_type： 杂志文章,多中心研究
doi：10.1016/j.avsg.2012.02.001
更新日期：2012-11-01 00:00:00
abstract：BACKGROUND:The aim of this study is to compare 2 groups of patients treated for great saphenous vein (GSV) reflux with open surgical saphenofemoral ligation (SFL) and endovenous laser ablation (EVLA). METHODS:Consecutive patients with primary unilateral GSV reflux undergoing EVLA treatment since 2014 were enrolled, an...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1016/j.avsg.2018.11.029
更新日期：2019-07-01 00:00:00
abstract：:Thoracic endovascular aortic repair (TEVAR) can be complicated by graft collapse, endoleaks, and stent migration. The incidence of these complications and other outcomes is poorly understood in young trauma victims who receive endovascular aortic repair of blunt thoracic aortic injury (BTAI). A 29-year-old pedestrian ...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1016/j.avsg.2016.12.007
更新日期：2017-07-01 00:00:00
abstract：BACKGROUND:The purpose of this study is to better define the clinical relevance of aneurysms affecting collateral vessels in patients with celiac artery (CA) occlusive disease. METHODS:True pancreaticoduodenal artery (PDA) and gastroduodenal artery (GDA) aneurysms associated with CA stenoses or occlusions reported fro...
journal_title：Annals of vascular surgery
pub_type： 杂志文章,评审
doi：10.1016/j.avsg.2016.09.018
更新日期：2017-05-01 00:00:00
abstract：BACKGROUND:Gender-related differences in iliofemoral anatomy are critically important for delivery of modern EVAR devices, however remains poorly characterized in the context of other patient-specific factors. The goal of the present study was to provide a detailed quantification of anatomic differences in iliofemoral ...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1016/j.avsg.2017.01.025
更新日期：2017-10-01 00:00:00
abstract：:Salmonella aortitis is a known complication of Salmonella infection that usually requires surgical therapy. It is unknown whether endovascular aortic repair (EVAR) is an acceptable alternative to conventional aortic surgery for patients with Salmonella aortitis who are at high risk for perioperative complications. We ...
journal_title：Annals of vascular surgery
pub_type： 杂志文章,评审
doi：10.1016/j.avsg.2013.09.015
更新日期：2014-07-01 00:00:00
abstract：BACKGROUND:Overtreatment and overuse of resources are leading causes of rising health care costs. Identification and elimination process of low value services is important in reducing such costs. At many institutions it is routine to send excised plaque after carotid endarterectomy (CEA) for pathology evaluation. With ...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1016/j.avsg.2020.04.065
更新日期：2020-08-01 00:00:00
abstract：:Spontaneous venous aneurysms of the upper extremities and neck are rare and typically asymptomatic. We present the first reported case of a symptomatic, primary upper extremity venous aneurysm in a patient who initially presented with pulmonary emboli. A 22-year-old patient was admitted with chest pain, dyspnea, and a...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1016/j.avsg.2012.05.019
更新日期：2013-02-01 00:00:00
abstract：:In patients with Takayasu's arteritis presenting with cerebrovascular insufficiency, deciding whether and how to perform surgical intervention is difficult. We report successful extra-anatomical cerebrovascular reconstruction in a patient with Takayasu's arteritis involving the aortic arch. A 27-year-old woman was dia...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1007/s10016-005-7714-7
更新日期：2005-11-01 00:00:00
abstract：BACKGROUND:Splanchnic artery aneurysms are relatively rare diseases. Pancreaticoduodenal arterial (PDA) aneurysms are especially uncommon and account for approximately 2% of all visceral aneurysms. However, rupture of a PDA aneurysm often results in fatal consequences. Intervention therapy has evolved as a mainstream m...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1016/j.avsg.2018.09.033
更新日期：2019-05-01 00:00:00
abstract：:A 10 year retrospective study of 103 patients with amaurosis fugax was done. Sixty-two patients with symptoms of amaurosis fugax underwent arteriography, which demonstrated ulcerated carotid plaque in 36 and hemodynamically significant stenoses (greater than 75% diameter reduction) in 26. These 62 patients underwent c...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1007/BF02000275
更新日期：1992-05-01 00:00:00
abstract：:OMNEX (Ethicon, Inc.; Somerville, NJ) is a cyanoacrylate-based synthetic surgical sealant. To date, the use of OMNEX has only been described in a limited number of vascular surgery procedures. We present the cases of two patients who underwent successful extracorporeal renal artery aneurysm repair with the aid of OMNE...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1016/j.avsg.2011.07.009
更新日期：2011-11-01 00:00:00
abstract：:We undertook a prospective evaluation to prove a new mechanical thrombectomy device, the shredding embolectomy thrombectomy catheter (S.E.T. catheter), for the treatment of patients with acute lower-limb ischemia. The study evaluated the success, patency, mortality, limb salvage, and complication rates for 51 patients...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1007/s100169900278
更新日期：1999-07-01 00:00:00
abstract：BACKGROUND:Basilic vein transposition via single long incision is a renowned technique despite its known wound-related complications. Contrary to that, multiple skip incisions technique is thought to have relatively lower wound-related complications. But to the best of our knowledge, these 2 techniques have never been ...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1016/j.avsg.2018.01.083
更新日期：2018-07-01 00:00:00
abstract：:Iatrogenic injury of the inferior vena cava (IVC) is a rare event with potentially devastating sequelae. Only a handful of case reports are available in the literature describing successful endovascular techniques to manage this complication. We present the case of a patient with injury to the retrohepatic IVC resulti...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1016/j.avsg.2014.04.009
更新日期：2014-10-01 00:00:00
abstract：:Marjolin's ulcer is an aggressive form of squamous cell carcinoma that develops over time from chronic wounds and scars, including burns and chronic venous stasis ulcers. The incidence of malignant transformation is low, resulting in a delay in diagnosis and increased morbidity and mortality in these patients. We repo...
journal_title：Annals of vascular surgery
pub_type： 杂志文章,评审
doi：10.1016/j.avsg.2013.06.002
更新日期：2013-11-01 00:00:00
abstract：:Penetrating chest trauma is common but few need surgical treatment (10-20%). The mortality of gunshot wounds of the heart is 45%, among the wounded arriving at the hospital. The suspicion of wound heart with an inlet in the heart area (limited by costal awnings down, clavicles top, and mid-clavicular line outside) and...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1016/j.avsg.2016.02.038
更新日期：2016-10-01 00:00:00
