Korean Journal of Radiology

  • 제7권4호
  • /
  • Pages.292-296
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  • 2006
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  • 1229-6929(pISSN)
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  • 2005-8330(eISSN)
대한영상의학회 (The Korean Society of Radiology)
권호 표지

Carotid Artery Stenting in a Patient with Spontaneous Recanalization of a Proximal Internal Carotid Artery Occlusion: a Case Report

  • Kim, Eui-Jong (Departments of Diagnostic Radiology, Kyung Hee University Medical Center) ;
  • Koh, Jun-Seok (Departments of Neurosurgery, Kyung Hee University Medical Center) ;
  • Choi, Woo-Suk (Departments of Diagnostic Radiology, Kyung Hee University Medical Center)
  • 발행 : 2006.12.31
⟨ 이전 논문 다음 논문 ⟩

초록

We report here on a rare case of carotid artery angioplasty and stenting in a patient with spontaneous recanalization after complete occlusion of the proximal internal carotid artery (ICA). The patient initially showed severe stenosis at the left proximal ICA on MR angiography (MRA). Digital subtraction angiography (DSA) performed three days after MRA showed complete occlusion of the proximal ICA. The follow-up DSA after four weeks showed recanalization of the ICA, and then carotid artery stenting was successfully performed. There has been no neurologic complication during more than one year follow-up.

키워드

참고문헌

  1. Meyer FB, Sundt TM Jr, Piepgras DG, Sandok BA, Forbes G. Emergency carotid endarterectomy for patients with acute carotid occlusion and profound neurological deficits. Ann Surg 1986;203:82-89 https://doi.org/10.1097/00000658-198601000-00014
  2. Meves SH, Muhs A, Federlein J, Buttner T, Przuntek H, Postert T. Recanalization of acute symptomatic occlusions of the internal carotid artery. J Neurol 2002;249:188-192 https://doi.org/10.1007/PL00007863
  3. Nguyen-Huynh MN, Lev MH, Rordorf G. Spontaneous recanalization of internal carotid artery occlusion. Stroke 2003;34:1032-1034 https://doi.org/10.1161/01.STR.0000060872.85874.33
  4. BogousslavskyJ, Despland P-A, Regli F. Spontaneous carotid dissection with acute stroke. Arch Neurol 1987;44:137-140 https://doi.org/10.1001/archneur.1987.00520140009010
  5. Steinke W, Rautenberg W, Schwartz A, Henerici M. Noninvasive monitoring of internal carotid artery dissection. Stroke 1994;25:998-1005 https://doi.org/10.1161/01.STR.25.5.998
  6. Sturzenegger M, Mattle HP, Rivoir A, Baumgartner RW. Ultrasound findings in carotid artery dissection: Analysis of 43 patients. Neurology 1995;45:691-698 https://doi.org/10.1212/WNL.45.4.691
  7. Pryor JC, Setton A, Nelson PK, Berenstein A. Complications of diagnostic cerebral angiography and tips on avoidance. Neuroimaing Clin N Am 1996;6:751-757
  8. Ringlelstein EB, Biniek R, Weiller C, Ammeling B, Nolte PN, Thron A. Type and extent of hemispheric brain infarctions and clinical outcome in early and delayed middle cerebral artery recanalization. Neurology 1992;42:289-298 https://doi.org/10.1212/WNL.42.2.289
  9. Wholey MH, Al-Mubarek N, Wholey MH. Updated review of the global carotid artery stent registry. Catheter Cardiovasc Interv 2003;60:259-266 https://doi.org/10.1002/ccd.10645
  10. Malek AM, Higashida RT, Phtouros CC, Lempert TE, Meyers PM, Smith WS. et al. Stent angioplasty for cervical artery stenosis in high-risk symptomatic NASCET-ineligible patients. Stroke 2000;31:3029-3033 https://doi.org/10.1161/01.STR.31.12.3029