A Case of Common Carotid Artery Occlusion: A Unique Pattern of Occlusion and Lessons Learned

Common carotid artery occlusion (CCAO) is a rare cause of cerebrovascular events. For patients with neurological deficits due to emboli from an occluded common carotid artery, ligation of the ipsilateral internal carotid may appear as a simple therapeutic option, provided there is adequate collatera...

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Bibliographic Details
Published in:Annals of Vascular Diseases 2022/03/25, Vol.15(1), pp.49-52
Main Authors: Gunawardena, Thilina, Godakandage, Manujaya, Abeywickrama, Sachith, Saseekaran, Balasubramaniyam, Cassim, Rezni, Wijeyaratne, Mandika
Format: Article
Language:English
Subjects:
Case Report
common carotid artery occlusion
internal carotid ligation
stroke
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Summary:Common carotid artery occlusion (CCAO) is a rare cause of cerebrovascular events. For patients with neurological deficits due to emboli from an occluded common carotid artery, ligation of the ipsilateral internal carotid may appear as a simple therapeutic option, provided there is adequate collateral circulation. Here, we describe a patient with an unusual pattern of CCAO, who underwent ligation of the internal carotid artery after a successful test occlusion with a hypotensive challenge. He suffered a delayed stroke. This case report aims to highlight the unique pattern of CCAO in this patient and our experience with his management.
ISSN:1881-641X
1881-6428
DOI:10.3400/avd.cr.21-00080