FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4300268464> ?p ?o ?g. }

• W4300268464 endingPage "624" @default.
• W4300268464 startingPage "623" @default.
• W4300268464 abstract "Acute spontaneous rupture of unstable carotid plaque with airway compromise is an immediate life-threatening event. We have described a ruptured internal carotid artery requiring emergent intervention with successful stroke-free survival. The patient provided written informed consent for the report of his case details and imaging studies. An 81-year-old man with uncontrolled hypertension, diabetes, and hyperlipidemia had presented to the emergency room with a rapidly enlarging left neck mass and dyspnea. He stated that he had felt a small “pop” in his neck earlier in the day. He denied any recent trauma, diabetes, dental work, and infections in the previous 6 months. Emergent computed tomography angiography confirmed an 8.9 × 5.9 × 4.8-cm pseudoaneurysm of his left internal carotid artery with contrast extravasation (A). After airway stabilization, cerebral angiography demonstrated a ruptured left internal carotid artery. After crossing the lesion, a distal SpiderFX 5-mm embolic protection device (Medtronic, Minneapolis, MN) was deployed. Once the filter had been safely deployed, concurrent 5-mm × 5-cm, followed by 7-mm × 5-cm, Viabahn stents (W. L. Gore & Associates, Flagstaff, AZ) were deployed with confirmed sealing and without distal embolic events (B/Cover). Immediate operative decompression confirmed ruptured plaque within the aneurysmal sac (C). After debridement, the wound was cultured, irrigated, and closed. The intraoperative cultures were negative for any infectious organisms. The patient started aspirin 81 mg and clopidogrel 75 mg daily. His postoperative course was uncomplicated, and he was discharged on postoperative day 3. At the last follow-up, he remained without stroke or neurologic events with resolution of all symptoms. The early identification of ulcerated plaque is important to for preventive screening and treatment of extracranial carotid disease. The factors for stabilization of carotid plaque include strict control of hyperlipidemia, hypertension, and diabetes.1Zhang M. Zhao Q. Gao Y. Wu X. Wang J. Prediction for rupture risk of carotid artery plaques: a comparative study of 3D-GSM and CAS system.Eur J Radiol. 2016; 85: 1659-1665Abstract Full Text Full Text PDF PubMed Scopus (5) Google Scholar At an elevated hemoglobin A1c of >7.0%, the fibrous cap will begin to thin, signifying plaque instability, which can lead to rupture.1Zhang M. Zhao Q. Gao Y. Wu X. Wang J. Prediction for rupture risk of carotid artery plaques: a comparative study of 3D-GSM and CAS system.Eur J Radiol. 2016; 85: 1659-1665Abstract Full Text Full Text PDF PubMed Scopus (5) Google Scholar,2Tecellioglu M. Alan S. Kamisli S. Tecellioglu F.S. Kamisli O. Ozcan C. Hemoglobin A1c-related histologic characteristics of symptomatic carotid plaques.Niger J Clin Pract. 2019; 22: 393-398PubMed Google Scholar Similar findings have been noted with elevated cholesterol and triglyceride levels.2Tecellioglu M. Alan S. Kamisli S. Tecellioglu F.S. Kamisli O. Ozcan C. Hemoglobin A1c-related histologic characteristics of symptomatic carotid plaques.Niger J Clin Pract. 2019; 22: 393-398PubMed Google Scholar The present patient’s lack of medical compliance contributed to his surgical emergency. In the current endovascular era, stent grafting has become a vital tool for treating complex carotid pathology. However, the use of covered stent grafts has been rarely reported. Choi et al,3Choi H. Park S.E. Choi D.S. Shin H.W. Kim J.E. Choi H.Y. Ruptured extracranial carotid artery: endovascular treatment with covered stent graft.J Neuroradiol. 2018; 45: 217-223Crossref PubMed Scopus (14) Google Scholar in 2018, demonstrated 100% technical success with ruptured carotid disease. However, their lack of follow-up failed to document the long-term outcomes when treatment has been performed by no-vascular specialists. At 1 year of follow-up, our stroke-free patient demonstrated a patent carotid stent without hemodynamic stenosis (D). The present case highlights the importance of preventive carotid artery disease surveillance. Duplex ultrasound can provide early warning signs of complex carotid plaque that might require earlier intervention to avoid catastrophic events. It is vital that the interventionalist have experience with both open and endovascular techniques to treat this surgical emergency.View Large Image Figure ViewerDownload Hi-res image Download (PPT)" @default.
• W4300268464 created "2022-10-03" @default.
• W4300268464 creator A5082319313 @default.
• W4300268464 date "2022-12-01" @default.
• W4300268464 modified "2023-09-26" @default.
• W4300268464 title "Spontaneously enlarging pulsatile cervical mass" @default.
• W4300268464 cites W2463259214 @default.
• W4300268464 cites W2794274972 @default.
• W4300268464 cites W2954975508 @default.
• W4300268464 doi "https://doi.org/10.1016/j.jvscit.2022.07.017" @default.
• W4300268464 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/36248378" @default.
• W4300268464 hasPublicationYear "2022" @default.
• W4300268464 type Work @default.
• W4300268464 citedByCount "0" @default.
• W4300268464 crossrefType "journal-article" @default.
• W4300268464 hasAuthorship W4300268464A5082319313 @default.
• W4300268464 hasBestOaLocation W43002684642 @default.
• W4300268464 hasConcept C105922876 @default.
• W4300268464 hasConcept C126322002 @default.
• W4300268464 hasConcept C126838900 @default.
• W4300268464 hasConcept C141071460 @default.
• W4300268464 hasConcept C203014093 @default.
• W4300268464 hasConcept C2775901891 @default.
• W4300268464 hasConcept C2776098176 @default.
• W4300268464 hasConcept C2777628954 @default.
• W4300268464 hasConcept C2777849778 @default.
• W4300268464 hasConcept C2778333808 @default.
• W4300268464 hasConcept C2779169563 @default.
• W4300268464 hasConcept C2779540182 @default.
• W4300268464 hasConcept C2780643987 @default.
• W4300268464 hasConcept C2781068581 @default.
• W4300268464 hasConcept C2987047532 @default.
• W4300268464 hasConcept C71924100 @default.
• W4300268464 hasConceptScore W4300268464C105922876 @default.
• W4300268464 hasConceptScore W4300268464C126322002 @default.
• W4300268464 hasConceptScore W4300268464C126838900 @default.
• W4300268464 hasConceptScore W4300268464C141071460 @default.
• W4300268464 hasConceptScore W4300268464C203014093 @default.
• W4300268464 hasConceptScore W4300268464C2775901891 @default.
• W4300268464 hasConceptScore W4300268464C2776098176 @default.
• W4300268464 hasConceptScore W4300268464C2777628954 @default.
• W4300268464 hasConceptScore W4300268464C2777849778 @default.
• W4300268464 hasConceptScore W4300268464C2778333808 @default.
• W4300268464 hasConceptScore W4300268464C2779169563 @default.
• W4300268464 hasConceptScore W4300268464C2779540182 @default.
• W4300268464 hasConceptScore W4300268464C2780643987 @default.
• W4300268464 hasConceptScore W4300268464C2781068581 @default.
• W4300268464 hasConceptScore W4300268464C2987047532 @default.
• W4300268464 hasConceptScore W4300268464C71924100 @default.
• W4300268464 hasIssue "4" @default.
• W4300268464 hasLocation W43002684641 @default.
• W4300268464 hasLocation W43002684642 @default.
• W4300268464 hasLocation W43002684643 @default.
• W4300268464 hasOpenAccess W4300268464 @default.
• W4300268464 hasPrimaryLocation W43002684641 @default.
• W4300268464 hasRelatedWork W2048669071 @default.
• W4300268464 hasRelatedWork W2097111981 @default.
• W4300268464 hasRelatedWork W2101084864 @default.
• W4300268464 hasRelatedWork W2340945910 @default.
• W4300268464 hasRelatedWork W2377234453 @default.
• W4300268464 hasRelatedWork W2400786298 @default.
• W4300268464 hasRelatedWork W2569544679 @default.
• W4300268464 hasRelatedWork W2605729753 @default.
• W4300268464 hasRelatedWork W2606643171 @default.
• W4300268464 hasRelatedWork W2805208581 @default.
• W4300268464 hasVolume "8" @default.
• W4300268464 isParatext "false" @default.
• W4300268464 isRetracted "false" @default.
• W4300268464 workType "article" @default.