Urgent Recanalization Using Stents for Acute Internal Carotid Artery Occlusion in Progressive Stroke Patients with Contralateral Chronic Carotid Occlusion.
- Author:
Tae Hong LEE
1
;
Kyung Pil PARK
;
Chang Hwa CHOI
;
Hak Jin KIM
;
Chang Won KIM
Author Information
1. Department of Diagnostic Radiology, Pusan National University Hospital, Pusan, Korea. drcello@pusan.ac.kr
- Publication Type:Case Report
- Keywords:
Arterial occlusive disease;
Internal carotid artery thrombosis;
Cerebral revascularization;
Stent
- MeSH:
Arterial Occlusive Diseases;
Carotid Artery Thrombosis;
Carotid Artery, Internal*;
Cerebral Revascularization;
Humans;
Prognosis;
Stents*;
Stroke*
- From:Neurointervention
2006;1(1):76-82
- CountryRepublic of Korea
- Language:English
-
Abstract:
The prognosis of symptomatic bilateral internal carotid artery occlusion is extremely poor. To our knowledge, there are few reports regarding the proper management of this catastrophic event. We present two cases of progressive stroke with acute internal carotid artery occlusion and contralateral chronic carotid occlusion, who were treated by urgent recanalization using stents. In two cases, complete recanalization was achieved and the clinical outcomes were favorable. We suggest that early endovascular treatment using stents may salvage the occluded vessel and may also offer a more successful clinical outcome. Further study will be necessary in order to define the proper management of this catastrophic event.
