| Emergency embolectomy for embolic occlusion of the middle cerebral artery after internal carotid artery balloon test occlusion. Case report. | |
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MedLine Citation:
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PMID: 1607954 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Balloon test occlusion of the internal carotid artery (ICA) is useful in preoperatively assessing the risk of temporary occlusion or permanent sacrifice of the carotid artery. The incidence of symptomatic complications from this procedure is 1.7%. The case is reported of a 57-year-old woman in whom a balloon test occlusion of the left ICA was attempted. She developed a left ICA dissection/occlusion with subsequent embolization to the left middle cerebral artery, leading to right-sided hemiplegia and expressive aphasia. She was successfully treated by an emergency embolectomy followed by surgical repair of the left ICA, with an excellent outcome. This case represents the most serious complication encountered by the authors in more than 300 balloon test occlusions. Means of avoiding this complication during balloon test occlusion as well as the important factors in managing this problem are emphasized. |
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Authors:
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M E Linskey; L N Sekhar; S T Hecht |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of neurosurgery Volume: 77 ISSN: 0022-3085 ISO Abbreviation: J. Neurosurg. Publication Date: 1992 Jul |
Date Detail:
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Created Date: 1992-07-20 Completed Date: 1992-07-20 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0253357 Medline TA: J Neurosurg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 134-8 Citation Subset: AIM; IM |
Affiliation:
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Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pennsylvania. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Balloon Dilatation
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adverse effects* Carotid Artery, Internal* / surgery Constriction Emergencies Female Humans Intracranial Aneurysm / surgery Intracranial Embolism and Thrombosis / etiology*, prevention & control, surgery* Middle Aged Preoperative Care |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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