External carotid artery angioplasty and stenting to augment cerebral perfusion in the setting of subacute symptomatic ipsilateral internal carotid artery occlusion. Case report.
The authors performed external carotid artery (ECA) angioplasty and stenting in a 45-year-old man who had presented with right hemispheric crescendo ischemic symptoms stemming from acute right internal carotid artery occlusion (ICAO). This unique application of ECA angioplasty and stenting augmented cerebral perfusion and improved clinical symptoms. In certain situations, ECA stenting can increase cerebral perfusion in the setting of ICAO and ECA stenosis. The authors are the first to describe this approach in this context.
Adel
Joseph G
JG
Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL 60611-2922, USA.
Bendok
Bernard R
BR
Hage
Ziad A
ZA
Naidech
Andrew M
AM
Miller
Jeffery W
JW
Batjer
H Hunt
HH
D015901:Angiography, Digital Subtraction; D000800:Angioplasty, Balloon; D001157:Arterial Occlusive Diseases / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D002340:Carotid Artery Diseases / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D002342:Carotid Artery, External; D002343:Carotid Artery, Internal; D002533:Cerebral Angiography; D002544:Cerebral Infarction / Q000209:etiology; D006801:Humans; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D019233:Retreatment; D015607:Stents