title: Therapeutic occlusion of an internal carotid artery with a high-grade stenosis using Guglielmi detachable coils.
abstract: We present a patient with a symptomatic, high-grade stenosis of the internal carotid artery (ICA) and contraindication for open surgery. Endovascular treatment was attempted, but stent placement was not possible. In view of good collateral flow to the related hemisphere, embolization of the stenosis of the ICA with Guglielmi detachable coils (GDCs) was performed to occlude the vessel. No complications occurred during the procedure or in the 1-year follow-up period. In cases where open surgery or endovascular treatment of a stenosis of the ICA are contraindicated or not possible, therapeutic occlusion of the stenotic ICA could be an alternative treatment option in patients with good collateral flow.
authors.affiliation: Department of Radiology, Klinikum Dortmund, Beurhausstrasse 40, 44137 Dortmund, Germany. elke.hauth@uni-essen.de
authors.forename: Elke A M
authors.initials: EA
authors.lastname: Hauth
authors.forename: Robert
authors.initials: R
authors.lastname: Drescher
authors.forename: Michael
authors.initials: M
authors.lastname: Forsting
authors.forename: Horst J
authors.initials: HJ
authors.lastname: Jaeger
authors.forename: Klaus D
authors.initials: KD
authors.lastname: Mathias
mesh_terms: D000368:Aged; D002343:Carotid Artery, Internal; D016893:Carotid Stenosis / Q000000981:diagnostic imaging / Q000628:therapy*; D002533:Cerebral Angiography; D004621:Embolization, Therapeutic; D006801:Humans; D008297:Male; D016896:Treatment Outcome