Endovascular treatment of carotid artery occlusion in progressive stroke syndromes: technical note

Neurosurgery
D I Levy

Abstract

We describe two patients, with progressing neurological deficits, who showed improvement after revascularization of their carotid arteries using stents. One patient presented clinically with the symptoms of a middle cerebral artery territory stroke. Angiography demonstrated total occlusion of the right internal carotid artery (ICA), with evidence of clot from the origin of the ICA to the middle cerebral artery trifurcation. The second patient presented with bilateral ICA occlusions and evidence of a progressing left hemispheric deficit; she was receiving therapeutic levels of heparin at the time of deterioration of her condition. Thrombolysis and stenting successfully recanalized the occluded vessels, and the deficits of the first patient were reversed. With the second patient, a dissected carotid loop was encountered. Straightening of the loop with a wire and stenting of the carotid artery using two stents allowed revascularization of the left hemisphere and resolution of most of the deficits of this patient. This report demonstrates the technical feasibility of placing stents in high-risk patients with carotid artery occlusions from either dissection or atherosclerosis. Both patients sustained much smaller infarctions than wo...Continue Reading

References

Sep 1, 1992·Cardiovascular and Interventional Radiology·J C PalmazJ G Moss
May 1, 1992·Journal of Neurosurgery·P W McCormickJ L Frey
May 1, 1992·Stroke; a Journal of Cerebral Circulation·R von Kummer, W Hacke
Jan 1, 1989·Neurology·N M Bornstein, J W Norris
Feb 1, 1987·AJR. American Journal of Roentgenology·M MarxG Gregoratos
Oct 1, 1988·Stroke; a Journal of Cerebral Circulation·W HackeG J del Zoppo
Dec 14, 1995·The New England Journal of Medicine·UNKNOWN National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group
May 1, 1995·Journal of Vascular and Interventional Radiology : JVIR·K D MurphyJ C Palmaz
Feb 1, 1996·Journal of Endovascular Surgery : the Official Journal of the International Society for Endovascular Surgery·E B DiethrichD B Reid

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Citations

Dec 4, 1998·Stroke; a Journal of Cerebral Circulation·T UedaS Ohta
Aug 7, 2001·Current Treatment Options in Neurology·Tobias Brandt, Louis Caplan
Sep 12, 2008·The Neurologist·Pornpatr Dharmasaroja, Permphan Dharmasaroja
Aug 19, 2008·International Journal of Stroke : Official Journal of the International Stroke Society·John W Norris, Tobias Brandt
Dec 6, 2001·Arquivos de neuro-psiquiatria·O O ZaidatJ I Suarez
Nov 30, 1998·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·M EzuraT Yoshimoto

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