Jaw claudication in the era of carotid stenting

被引:5
作者
Chen, Huiting [1 ]
Kougias, Panagiotis [1 ]
Lin, Peter H. [1 ]
Bechara, Carlos F. [1 ]
机构
[1] Baylor Coll Med, Michael E DeBakey Dept Surg, Michael E DeBakey Vet Adm Med Ctr, Div Vasc & Endovasc Therapy, Houston, TX 77030 USA
关键词
INTERMITTENT CLAUDICATION; ARTERY; ENDARTERECTOMY; OCCLUSION; DISEASE; PAIN;
D O I
10.1016/j.jvs.2010.12.057
中图分类号
R61 [外科手术学];
学科分类号
摘要
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. (J Vase Surg 2011;54:526-8.)
引用
收藏
页码:526 / 528
页数:3
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