Perfusion computed tomography-guided subacute endovascular reperfusion in a patient with carotid occlusion

M G Delgado; A Gil; V Mateos; S Calleja; P Vega; C H Lahoz; P Michel

doi:10.1016/j.avsg.2007.12.010

Perfusion computed tomography-guided subacute endovascular reperfusion in a patient with carotid occlusion

Ann Vasc Surg. 2008 May-Jun;22(3):465-8. doi: 10.1016/j.avsg.2007.12.010.

Authors

M G Delgado¹, A Gil, V Mateos, S Calleja, P Vega, C H Lahoz, P Michel

Affiliation

¹ Neurology Service, Hospital Central de Asturias, Oviedo, Spain. mglezdelgado@yahoo.es

PMID: 18466823
DOI: 10.1016/j.avsg.2007.12.010

Abstract

Most patients with symptomatic internal carotid artery occlusion have a single minor or major hemispheric stroke. A minority of patients have ipsilateral retinal ischemia, recurrent strokes, or transient ischemic attacks. Whereas spontaneous carotid recanalization is rare, acute surgical recanalization has been attempted, with mixed results. Recently, acute endovascular recanalization has been performed and described as feasible and relatively safe. We describe a patient with symptom recurrence related to hemodynamic factors after occlusion of the carotid artery who was successfully treated 14 days after symptom onset.

Publication types

Case Reports

MeSH terms

Blood Flow Velocity
Carotid Artery, Internal / diagnostic imaging*
Carotid Artery, Internal / physiopathology
Carotid Stenosis / complications
Carotid Stenosis / diagnostic imaging
Carotid Stenosis / physiopathology
Carotid Stenosis / therapy*
Cerebrovascular Circulation
Cerebrovascular Disorders / diagnostic imaging
Cerebrovascular Disorders / etiology*
Cerebrovascular Disorders / therapy
Hemodynamics*
Humans
Male
Middle Aged
Ophthalmic Artery / diagnostic imaging
Ophthalmic Artery / physiopathology
Radiography, Interventional / methods*
Recurrence
Reperfusion / instrumentation
Reperfusion / methods*
Stents
Tomography, X-Ray Computed*
Treatment Outcome