Document Detail


Jaw claudication in the era of carotid stenting.
MedLine Citation:
PMID:  21397442     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Jaw claudication could result from external carotid artery (ECA) occlusive disease. Carotid artery stenting (CAS) has been shown to worsen the disease in the ECA. This could potentially worsen the symptoms in patients with pre-existing jaw claudication undergoing CAS. Meanwhile, ECA endarterectomy is routinely done during internal carotid artery endarterectomy (CEA). This has been shown to alleviate jaw claudication symptoms. We report a case of a high-risk patient for CEA who presented with symptomatic carotid disease as well as bilateral jaw claudication. Both symptoms resolved after CEA. We also present the case of another patient treated for recurrent high-grade carotid disease with CAS resulting in acute ECA occlusion and jaw claudication. High-risk patients with symptomatic carotid disease and jaw claudication should be considered for CEA and not only CAS.
Authors:
Huiting Chen; Panagiotis Kougias; Peter H Lin; Carlos F Bechara
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2011-03-11
Journal Detail:
Title:  Journal of vascular surgery     Volume:  54     ISSN:  1097-6809     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2011-08-08     Completed Date:  2011-10-24     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  526-8     Citation Subset:  IM    
Copyright Information:
Published by Mosby, Inc.
Affiliation:
Department of Surgery, Baylor College of Medicine, Michael E. DeBakey Veterans Administration Medical Center, Houston, TX, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Angioplasty / adverse effects,  instrumentation*
Carotid Stenosis / complications,  radiography,  therapy*
Endarterectomy, Carotid*
Humans
Intermittent Claudication / etiology*,  radiography,  surgery
Jaw Diseases / etiology*,  radiography,  surgery
Male
Masticatory Muscles / blood supply*
Middle Aged
Risk Factors
Stents*
Tomography, X-Ray Computed
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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