External carotid artery stenting in symptomatic internal carotid artery occlusion
Copyright © 2020 Elsevier Ltd. All rights reserved..
We report the case of a patient with an anterior ischemic stroke due to tandem occlusion of the left M2 segment and ipsilateral internal carotid artery (ICA), with concomitant severe stenosis of the ipsilateral external carotid artery (ECA) and contralateral ICA, and moderate stenosis of the left vertebral artery (VA); as thrombectomy was not possible, stenting of the right ICA was performed. Two days after significant recovery, the patient showed neurological deterioration when in upright position, and brain magnetic resonance imaging confirmed decreased cerebral blood flow on the left hemisphere. Stenting of the left ECA and balloon angioplasty of the ipsilateral VA were performed in order to increase collateral flow, with an almost complete resolution of symptoms. This case highlights the importance of assessing the collateralization pattern when an ICA occlusion is present, and the potential need to revascularize an ipsilateral stenotic ECA.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2020 |
|---|---|
| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:78 |
|---|---|
| Enthalten in: |
Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia - 78(2020) vom: 10. Aug., Seite 397-399 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Quintas-Neves, Miguel [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Angiography |
|---|
| Anmerkungen: |
Date Completed 17.11.2020 Date Revised 17.11.2020 published: Print-Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1016/j.jocn.2020.05.023 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM309855810 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM309855810 | ||
| 003 | DE-627 | ||
| 005 | 20231225134827.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231225s2020 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1016/j.jocn.2020.05.023 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1032.xml |
| 035 | |a (DE-627)NLM309855810 | ||
| 035 | |a (NLM)32402613 | ||
| 035 | |a (PII)S0967-5868(20)30951-6 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Quintas-Neves, Miguel |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a External carotid artery stenting in symptomatic internal carotid artery occlusion |
| 264 | 1 | |c 2020 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 17.11.2020 | ||
| 500 | |a Date Revised 17.11.2020 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2020 Elsevier Ltd. All rights reserved. | ||
| 520 | |a We report the case of a patient with an anterior ischemic stroke due to tandem occlusion of the left M2 segment and ipsilateral internal carotid artery (ICA), with concomitant severe stenosis of the ipsilateral external carotid artery (ECA) and contralateral ICA, and moderate stenosis of the left vertebral artery (VA); as thrombectomy was not possible, stenting of the right ICA was performed. Two days after significant recovery, the patient showed neurological deterioration when in upright position, and brain magnetic resonance imaging confirmed decreased cerebral blood flow on the left hemisphere. Stenting of the left ECA and balloon angioplasty of the ipsilateral VA were performed in order to increase collateral flow, with an almost complete resolution of symptoms. This case highlights the importance of assessing the collateralization pattern when an ICA occlusion is present, and the potential need to revascularize an ipsilateral stenotic ECA | ||
| 650 | 4 | |a Case Reports | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Angiography | |
| 650 | 4 | |a Angioplasty | |
| 650 | 4 | |a External carotid artery | |
| 650 | 4 | |a Stent | |
| 700 | 1 | |a Xavier, Sofia Almeida |e verfasserin |4 aut | |
| 700 | 1 | |a Santos, Mariana Ribeiro |e verfasserin |4 aut | |
| 700 | 1 | |a Silva, Ana Rita |e verfasserin |4 aut | |
| 700 | 1 | |a Alves, José Nuno |e verfasserin |4 aut | |
| 700 | 1 | |a Rocha, Jaime |e verfasserin |4 aut | |
| 700 | 1 | |a Amorim, José Manuel |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia |d 1994 |g 78(2020) vom: 10. Aug., Seite 397-399 |w (DE-627)NLM093767099 |x 1532-2653 |7 nnns |
| 773 | 1 | 8 | |g volume:78 |g year:2020 |g day:10 |g month:08 |g pages:397-399 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1016/j.jocn.2020.05.023 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 78 |j 2020 |b 10 |c 08 |h 397-399 | ||