Usefulness of contralateral carotid angiography in revascularization therapy of acute internal carotid artery occlusion
نویسندگان
چکیده
منابع مشابه
Carotid 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 کاملEndovascular revascularization of symptomatic acute extracranial internal carotid artery occlusion.
See related article, pages 2426–2430. Acute extracranial internal carotid artery (ICA) occlusion resulting in ischemic stroke is different from other forms of acute occlusion of the cerebral blood vessels. The occluded segment of the ICA consists of predominantly atherosclerotic plaque and a superimposed thrombus. The occluded segments in other cerebral blood vessels, such as the middle cerebra...
متن کامل[Internal carotid artery revascularization].
Carotid endarterectomy remains the standard revascularization technique for the prevention of ischemic stroke resulting from severe carotid stenosis. Surgery is highly beneficial in patients with a symptomatic stenosis of 70% or greater that is not a total or near-total occlusion. The benefit becomes more diluted in patients with a symptomatic 50-69% stenosis, and surgery has no effect, or even...
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 کاملSustained 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...
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ژورنال
عنوان ژورنال: Journal of Neurosurgery
سال: 2018
ISSN: 0022-3085,1933-0693
DOI: 10.3171/2017.3.jns162563