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Combined Near-infrared Fluorescent Imaging and Micro-computed Tomography for Directly Visualizing Cerebral Thromboemboli
13:10

Combined Near-infrared Fluorescent Imaging and Micro-computed Tomography for Directly Visualizing Cerebral Thromboemboli

Published on: September 25, 2016

Thromboembolic complications after combined internal carotid ligation and extra- to-intracranial bypass

R C Heros

    Surgical Neurology
    |January 1, 1984
    PubMed

    Insights

    Therapeutic internal carotid artery occlusion, often with bypass surgery, may lead to embolic complications. These emboli frequently occlude the middle cerebral artery, causing ischemic events.

    Area of Science:

    • Neurosurgery
    • Vascular Surgery
    • Neurology

    Background:

    • Therapeutic occlusion of the internal carotid artery is a neurosurgical procedure.
    • Extracranial-to-intracranial bypass is sometimes performed in conjunction with carotid occlusion.
    • Embolic complications are a known risk associated with vascular interventions.

    Purpose of the Study:

    • To summarize cases of embolic complications during or after internal carotid artery occlusion.
    • To investigate the potential role of extracranial-to-intracranial bypass in these complications.
    • To review the literature on ischemic complications of surgical carotid occlusion.

    Main Methods:

    • A brief summary of twelve cases of probable embolic complication.
    • Data collected via an informal survey of 30 neurosurgeons.
    • Literature review focusing on surgical carotid occlusion and ischemic complications.

    Main Results:

    • Twelve cases of embolic complications were identified in patients who underwent internal carotid artery occlusion and bypass.
    • In most cases, the middle cerebral artery was occluded by an embolus.
    • Emboli likely originated from the occluded internal carotid artery or treated aneurysm.

    Conclusions:

    • Embolic complications, particularly middle cerebral artery occlusion, are a significant risk of therapeutic internal carotid artery occlusion, even with bypass.
    • The pathogenesis of these emboli requires further investigation.
    • Understanding the frequency and causes of ischemic complications is crucial for patient management.

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