Carotid Artery Revascularization in Patients with Contralateral Carotid Artery Occlusion: Stent or Endarterectomy?
نویسندگان
چکیده
منابع مشابه
Sustained bilateral hemodynamic benefit of contralateral carotid endarterectomy in patients with symptomatic internal carotid artery occlusion.
BACKGROUND AND PURPOSE We sought to investigate whether in patients with a symptomatic internal carotid artery (ICA) occlusion, endarterectomy of a severe stenosis of the contralateral carotid artery can establish long-term cerebral hemodynamic improvement. METHODS Nineteen patients were studied on average 1 month before and 6 months after contralateral carotid endarterectomy (CEA). Volume fl...
متن کاملCarotid angioplasty and stenting in a patient with high grade stenosis of Internal Carotid Artery associated with both vertebral arteries and contralateral carotid occlusion
Severe internal carotid artery (ICA) stenosis is a common cause of cerebrovascular accident (CVA) in middle-aged patients. Contralateral carotid occlusion (CCO) in patients with severe ICA stenosis is associated with high risk of CVA. Carotid endarterectomy (CEA) is associated with more complications in patients with CCO than those without CCO. In this study, we present the case of a 61-year-ol...
متن کاملCerebral hemodynamic benefits after contralateral carotid artery stenting in patients with internal carotid artery occlusion.
CEA contralateral to an ICA occlusion is considered a surgical risk, and CAS may be an alternative for these patients. Our goal was to examine whether CAS improves cerebral hemodynamics on the treated side and on the side of the ICA occlusion, on the basis of measurement of CBF and CVR by using SPECT. The subjects were 8 patients who underwent contralateral CAS. Resting CBF and CVR to acetazola...
متن کاملOctogenarians with contralateral carotid artery occlusion: a cohort at higher risk for carotid endarterectomy?
PURPOSE Carotid angioplasty and stenting has been proposed as a treatment option for carotid occlusive disease in patients at high risk, including those 80 years of age or older or with contralateral carotid occlusion. We analyzed 30-day mortality and stroke risk rates of carotid endarterectomy (CEA) in patients aged 80 years or older with concurrent carotid occlusive disease. METHODS From a ...
متن کاملOphthalmic Artery Occlusion After Carotid Revascularization
Distal embolization resulting from carotid angioplasty and stenting (CAS) occurs mainly in the cerebral hemisphere. We report a case of ophthalmic artery occlusion after carotid revascularization. A 75-year old man received emergency CAS for cervical internal carotid artery occlusion. Two months later, the patient was readmitted for decreased visual acuity. We found ophthalmic artery occlusion ...
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ژورنال
عنوان ژورنال: Journal of Vascular Surgery
سال: 2017
ISSN: 0741-5214
DOI: 10.1016/j.jvs.2016.10.019