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Endovascular recanalization of acute atherothrombotic carotid artery occlusion holds up progressive stroke

  • Interventional Neuroradiology
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Abstract

In acute carotid artery occlusion, hemodynamic compromise in addition to artery–artery thromboembolism is the mechanism of ischemia that may lead to a progressive clinical course with enlarging infarcts. The natural course of carotid artery occlusion with a progressive stroke is unfavorable with only about 10% of patients making a good recovery. We report on two patients in whom emergency recanalization of acute carotid artery occlusion with self-expanding stents restored cerebral blood flow and held up progressive stroke.

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References

  1. Kang DW, Chu K, Ko SB, Kwon SJ, Yoon BW, Roh JK (2002) Lesion patterns and mechanism of ischemia in internal carotid artery disease: a diffusion-weighted imaging study. Arch Neurol 59:1577–1582

    Article  PubMed  Google Scholar 

  2. Ringelstein EB, Zeumer H, Angelou D (1983) The pathogenesis of strokes from internal carotid artery occlusion. Diagnostic and therapeutical implications. Stroke 4:867–875

    Google Scholar 

  3. Huber R, Muller BT, Seitz RJ, Siebler M, Modder U, Sandmann W (2003) Carotid surgery in acute symptomatic patients. Eur J Vasc Endovasc Surg 25:60–67

    Article  CAS  PubMed  Google Scholar 

  4. Berkefeld J, Turowski B, Dietz A, Lanfermann H, Sitzer M, Schmitz-Rixen T, Steinmetz H, Zanella FE (2002) Recanalization results after carotid stent placement. AJNR 23:113–120

    Google Scholar 

  5. Levy DI (1998) Endovascular treatment of carotid artery occlusion in progressive stroke syndromes: technical note. Neurosurgery 42:186–191

    CAS  PubMed  Google Scholar 

  6. Bellon RJ, Putman CM, Budzik RF, Pergolizzi RS, Reinking GF, Norbash AM (2001) Rheolytic thrombectomy of the occluded internal carotid artery in the setting of acute ischemic stroke. AJNR 22:526–530

    CAS  Google Scholar 

  7. Endo S, Kuwayama N, Hirashima Y, Akai T, Nishijima M, Takaku A (1998) Results of urgent thrombolysis in patients with major stroke and atherothrombotic occlusion of the cervical internal carotid artery. AJNR 19:1169–1175

    CAS  Google Scholar 

  8. Meyer FB, Sundt TM Jr, Piepgras DG, Sandok BA, Forbes G (1986) Emergency carotid endarterectomy for patients with acute carotid occlusion and profound neurological deficits. Ann Surg 203:82-89

    CAS  PubMed  Google Scholar 

  9. Neumann-Haefelin T, Wittsack HJ, Fink GR, Wenserski F, Li TQ, Seitz RJ, Siebler M, Modder U, Freund HJ (2000) Diffusion- and perfusion-weighted MRI: influence of severe carotid artery stenosis on the DWI/PWI mismatch in acute stroke. Stroke 31:1311–1317

    CAS  PubMed  Google Scholar 

  10. Kastrup A, Groschel K, Krapf H, Brehm BR, Dichgans J, Schulz JB (2003) Early outcome of carotid angioplasty and stenting with and without cerebral protection devices: a systematic review of the literature. Stroke 34:813–819

    Article  PubMed  Google Scholar 

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Correspondence to R. du Mesnil de Rochemont.

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du Mesnil de Rochemont, R., Sitzer, M., Neumann-Haefelin, T. et al. Endovascular recanalization of acute atherothrombotic carotid artery occlusion holds up progressive stroke. Neuroradiology 46, 583–586 (2004). https://doi.org/10.1007/s00234-004-1214-2

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  • DOI: https://doi.org/10.1007/s00234-004-1214-2

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