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| Year : 2010 | Volume
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| Issue : 6 | Page : 1153-1154 |
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| Unilateral aneurysmal calcific dilatation of an extracranial portion of the internal carotid artery in a patient with end-stage renal disease |
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Vishnubotla Sivakumar, Sriramnaveen Parvatina, Krishnakishore Chennu, Venkata Sainaresh, Gondi Sivaramakrishna
Department of Nephrology, Sri Venkateswara Institute of Medical Sciences, Tirupati, India
Click here for correspondence address and email
| Date of Web Publication | 4-Nov-2010 |
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How to cite this article:
Sivakumar V, Parvatina S, Chennu K, Sainaresh V, Sivaramakrishna G. Unilateral aneurysmal calcific dilatation of an extracranial portion of the internal carotid artery in a patient with end-stage renal disease. Saudi J Kidney Dis Transpl 2010;21:1153-4 |
How to cite this URL:
Sivakumar V, Parvatina S, Chennu K, Sainaresh V, Sivaramakrishna G. Unilateral aneurysmal calcific dilatation of an extracranial portion of the internal carotid artery in a patient with end-stage renal disease. Saudi J Kidney Dis Transpl [serial online] 2010 [cited 2020 Nov 29];21:1153-4. Available from: https://www.sjkdt.org/text.asp?2010/21/6/1153/72315 |
To the Editor,
Aneurysmal dilatation of the extracranial portion of the internal carotid artery is rare. A middle-aged woman, a patient of chronic kidney disease secondary to amyloidosis, presented with fluid overload and abnormal blood biochemistry: hemoglobin of 7 g/dL, serum creatinine of 9 mg/dL, Ca Χ P product of 48 mg 2 /dL 2 (10 Χ 4.8) and serum albumin of 3.7 g/dL, intact parathyroid hormone level of 121 pg/mL and 25 (OH) vitamin D of 19 ng/mL.. The chest X-ray of her neck and chest revealed proper position of the vascular access in addition to a calcified dilated right internal carotid artery [Figure 1]. | Figure 1 :X-ray neck AP view showing calcification and aneurysmal dilatation of the extracranial portion of the right internal carotid artery
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Trauma, infection, fibromuscular dysplasia, collagen disorders, Takayasu's arteritis, irradiation, Behcet's disease and congenital defects were noted in the differential diagnosis of the aneurysm, which may be symptomatic or asymptomatic; neck pain, stroke, transient ischemic attack, dysphagia and Horner's syndrome have been reported secondary to aneurysm. [1],[2]
When patients of end-stage renal disease are taken for internal jugular catheter placement, there is a possibility of injury to the great vessels of the neck when the procedure is performed blindly. A Doppler-guided catheter placement or pre-procedural thorough clinical examination of the neck and a plain X-ray sometimes may bring out this abnormality. Therefore, this is to avoid inadvertent injury to the aneurysm, which may be catastrophic.
 References | |  |
| 1. | Gouranga S, Narayan P. Aneurysm of extra cranial internal carotid artery. J Assoc Phys India 2009;57:(6)452. 
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| 2. | Sergi B, Alberti V, Paludetti G, Snider F. Extra cranial internal carotid artery aneurysm presenting as pharyngeal mass with dysphagia. J laryngol Otol 2006;120(2):e4.
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Correspondence Address:
Vishnubotla Sivakumar
Department of Nephrology, Sri Venkateswara Institute of Medical Sciences, Tirupati
India
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PMID: 21060197 
[Figure 1] |
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| This article has been cited by | | 1 |
Carotid-jugular arteriovenous fistula: A case report of an iatrogenic complication following internal jugular vein catheterization for hemodialysis access |
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| Patel, H.V. and Sainaresh, V.V. and Jain, S.H. and Kute, V.B. and Godara, S. and Gumber, M.R. and Munjappa, B. and Gera, D.N. and Shah, P.R. and Trivedi, H.L. | | Hemodialysis International. 2011; 15(3): 404-406 | | [Pubmed] | |
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