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Combined Endovascular Antegrade and Direct Retrograde Carotid Artery Stenting for Chronic and Long Segment Common Carotid Artery Occlusion: Technical Note and Review of Literature
Neurol Med Chir (Tokyo). 2023 Apr 6. doi: 10.2176/jns-nmc.2022-0397. Online ahead of print.ABSTRACTCommon carotid artery (CCA) occlusion (CCAO) is a rare cause of ischemic stroke and bypass surgery is the common treatment approach. However, safer alternatives should be developed to treat CCAO. A 68-year-old male was diagnosed with left-sided CCAO with decreased left visual acuity due to neck radiation therapy for laryngeal cancer. Recanalization therapy using a pull-through technique was initiated because cerebral blood flow progressively decreased during the follow-up period. First, after a short sheath was inserted into ...
Source: Neurologia Medico-Chirurgica - April 5, 2023 Category: Neurosurgery Authors: Shigeta Miyake Yasunobu Nakai Taisuke Akimoto Shun Ishikawa Wakiko Saruta Hiroki Kuroda Satoru Shimizu Tetsuya Yamamoto Source Type: research

Carotid Sparing Conformal Radiotherapy for Early Larynx Cancer
Parallel opposed lateral (POL) portals have been adopted as the mainstay radiation therapy technique for early-stage carcinoma of the glottis. Although the use of POL has been associated with excellent control rates and tolerability, the partial inclusion of carotid arteries (CAs) in the high dose regions of the fields has been shown to lead to an increased long-term risk of carotid stenosis and hemorrhagic stroke. Many researchers have proposed the utilization of three-dimension conformal therapy (3DCRT) or Intensity-modulated radiation therapy (IMRT) as viable carotid-sparing techniques via reductions to the mean and max...
Source: International Journal of Radiation Oncology * Biology * Physics - March 12, 2020 Category: Radiology Authors: N.S. Kalman, J. Laher, B. Zholendz Tags: Toxicity, Quality of Life, Survivorship, Costs of Care Source Type: research