External Carotid Artery Angioplasty and Stenting Followed by Superficial Temporal Artery to Middle Cerebral Artery Anastomosis.
10.3340/jkns.2009.46.5.488
- Author:
Jun Kyeung KO
1
;
Sang Weon LEE
;
Tae Hong LEE
;
Chang Hwa CHOI
Author Information
1. Department of Neurosurgery, School of Medicine, Pusan National University, Busan, Korea. sangweonlee@pusan.ac.kr
- Publication Type:Case Report
- Keywords:
Angioplasty;
External carotid artery;
Internal carotid artery;
Middle cerebral artery
- MeSH:
Adult;
Angiography, Digital Subtraction;
Angioplasty;
Basal Ganglia;
Carotid Artery, External;
Carotid Artery, Internal;
Constriction, Pathologic;
Dietary Sucrose;
Humans;
Ischemic Attack, Transient;
Magnetic Resonance Imaging;
Middle Cerebral Artery;
Paresis;
Stents;
Temporal Arteries
- From:Journal of Korean Neurosurgical Society
2009;46(5):488-491
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 31-year-old man presented with right hemiparesis, and magnetic resonance imaging revealed a small infarct at left basal ganglia. Digital subtraction angiography showed left cervical internal carotid artery (ICA) occlusion and severe stenosis of the ipsilateral external carotid artery (ECA) with collateral cerebral circulation fed by ECAs. Based on the results of a functional evaluation of cerebral blood flow, we performed preventive ECA angioplasty and stenting for advanced ECA stenosis to ensure sufficient blood flow to the superficial temporal artery. Eight weeks later, superficial temporal artery to middle cerebral artery (STA-MCA) anastomosis was performed. His postoperative course was uneventful and no additional transient ischemic attacks have occurred. To our knowledge, this is the first report of preventive angioplasty and stenting for advanced narrowing of an ECA before STA-MCA anastomosis for ipsilateral ICA occlusion.
