Rescue revascularization therapy with a stent-in-stent technique for acute intracranial internal carotid artery occlusion.
A 45-year-old woman presented with progressive stroke due to occlusion of the left internal carotid artery at the level of the cavernous portion (C3/C4). Revascularization was achieved by stent deployment following percutaneous transluminal angioplasty. Stent thrombosis occurred 7 days after primary stenting; it was successfully treated with the stent-in-stent technique. The patient was able to return to her independent life with no sequelae except for slight hemiparesis. In combination with appropriate antiplatelet treatment, the stent-in-stent technique should be considered as a rescue option in patients with re-occlusion of an intracranial stent.
Okazaki
Toshiyuki
T
Department of Neurosurgery, School of Medicine, The University of Tokushima, Japan.
Satomi
Junichiro
J
Satoh
Koichi
K
Hirasawa
Motohiro
M
Nagahiro
Shinji
S
D000208:Acute Disease; D000800:Angioplasty, Balloon / Q000379:methods*; D002343:Carotid Artery, Internal; D016893:Carotid Stenosis / Q000628:therapy*; D002548:Cerebral Revascularization / Q000379:methods*; D005260:Female; D006083:Graft Occlusion, Vascular / Q000628:therapy*; D006801:Humans; D008875:Middle Aged; D015607:Stents