Recanalization for symptomatic chronic internal carotid artery occlusion: a preliminary study
10.3760/cma.j.cn112149-20200502-00642
- VernacularTitle:有症状的慢性颈内动脉闭塞患者开通术的临床初步疗效
- Author:
Jinchao XIA
;
Yongfeng WANG
;
Kun ZHANG
;
Huili GAO
;
Jianjun GU
;
Weixing BAI
;
Liangfu ZHU
;
Jiangyu XUE
;
Ziliang WANG
;
Tianxiao LI
- From:
Chinese Journal of Radiology
2021;55(5):490-494
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the value of endovascular recanalization and hybrid recanalization for chronic internal carotid artery occlusion(COICA), and to evaluate its feasibility, safety, success rate, and clinical outcomes.Methods:Totally 35 patients who received endovascular recanalization or hybrid recanalization with symptomatic COICA were enrolled from January 2019 to December 2019 in Department of Cerebrovascular Disease,Zhengzhou University People′s Hospital. The clinical characteristics, treatment strategies, success rate, and major events of the patients were analyzed retrospectively.Results:Thirty of 35 patients were successfully recanalized. Among them, hybrid recanalization was performed in 3 cases, carotid endarterectomy was performed in 1 case, and endovascular recanalization was performed in 26 cases, 5 patients failed because they could not reach the distal true cavity. Among the successful patients, 5 patients had operation-related complications, 3 patients had embolism cerebral infarction, 1 patient had hyperperfusion cerebral hemorrhage, 1 patient still had transient ischemic attack after operation. All patients were followed up clinically, 2 patients had reoccurrence of obstruction, 2 patient had restenosis, the remaining patients had no hemodynamic stenosis or reocclusion.Conclusion:In highly-selected cases, intracavitary recanalization for symptomatic COICA is feasible, relatively safe and effective.
