Perfusion computed tomography-guided subacute endovascular reperfusion in a patient with carotid occlusion.
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.
Delgado
M G
MG
Neurology Service, Hospital Central de Asturias, Oviedo, Spain. mglezdelgado@yahoo.es
Gil
A
A
Mateos
V
V
Calleja
S
S
Vega
P
P
Lahoz
C H
CH
Michel
P
P
D001783:Blood Flow Velocity; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging* / Q000503:physiopathology; D016893:Carotid Stenosis / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D002560:Cerebrovascular Circulation; D002561:Cerebrovascular Disorders / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D006439:Hemodynamics; D006801:Humans; D008297:Male; D008875:Middle Aged; D009880:Ophthalmic Artery / Q000000981:diagnostic imaging / Q000503:physiopathology; D015641:Radiography, Interventional / Q000379:methods*; D012008:Recurrence; D015424:Reperfusion / Q000295:instrumentation / Q000379:methods*; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome