title: Angioplasty and stenting for the occluded internal carotid artery.
abstract: To investigate the feasibility and efficacy of angioplasty and stenting for symptomatic occlusion of carotid artery. From December 2004 to June 2009, 17 patients with progressive or reoccurred ischemic stroke or repeated transient ischemic attack resulted from the total occluded carotid artery underwent angioplasty and stenting were reviewed. All patients with successful procedure were followed up. Clinic and angiography data were documented prospectively. The median time from symptoms onset to procedure was 23 days (range 3-94 days). Twelve of the 17 patients (70%) were obtained technique success. Eight patients were observed the collapse of internal carotid artery between occluded location to origin of ophthalmic artery after the occlusion was patent. Two patients had clots which were solved with urokinase. The collapsed internal carotid artery was improved markedly in the compute tomography angiograph 7 days after the procedure. No any complications related procedures occurred. One patient died from myocardial infarct and one suffered from ischemic minor stroke in brainstem for a median follow-up of 346.5 days. One of 9 patients (11.1%) was observed in-stent stenosis in the follow-up angiography. Angioplasty and stenting was a potential alternative therapy for symptomatic occlusion of carotid artery. Further study is required to determine the safety of this treatment.
authors.affiliation: Department of Neurology, Jinling Hospital, Nanjing University School of Medicine, 305# East Zhongshan Road, Nanjing, 210002, Jiangsu Province, China.|Department of Neurology, Shiyan People Hospital, Yunyang Medical College, Shiyan, Hubei Province, China.
authors.forename: Xuanye
authors.initials: X
authors.lastname: Yue
authors.forename: Gelin
authors.initials: G
authors.lastname: Xu
authors.forename: Wenhua
authors.initials: W
authors.lastname: Liu
authors.forename: Renliang
authors.initials: R
authors.lastname: Zhang
authors.forename: Zhiming
authors.initials: Z
authors.lastname: Zhou
authors.forename: Qin
authors.initials: Q
authors.lastname: Yin
authors.forename: Gangming
authors.initials: G
authors.lastname: Xi
authors.forename: Xinfeng
authors.initials: X
authors.lastname: Liu
mesh_terms: D000368:Aged; D017130:Angioplasty; D002545:Brain Ischemia / Q000000981:diagnostic imaging / Q000209:etiology / Q000401:mortality / Q000628:therapy; D002343:Carotid Artery, Internal; D016893:Carotid Stenosis / Q000150:complications / Q000000981:diagnostic imaging / Q000401:mortality / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015607:Stents; D020521:Stroke / Q000000981:diagnostic imaging / Q000209:etiology / Q000401:mortality / Q000628:therapy
references.citation: Neurol India. 2008 Apr-Jun;56(2):173-8
references.pmid: 18688143
references.citation: JAMA. 1998 Sep 23-30;280(12):1093-4
references.pmid: 9757859
references.citation: AJNR Am J Neuroradiol. 2002 Jun-Jul;23(6):924-8
references.pmid: 12063217
references.citation: Postgrad Med J. 2007 Feb;83(976):95-9
references.pmid: 17308211
references.citation: J Neuroimaging. 2009 Jan;19(1):68-71
references.pmid: 18801001
references.citation: Stroke. 1978 Sep-Oct;9(5):457-60
references.pmid: 705826
references.citation: Neurosurg Focus. 2009;26(3):E4
references.pmid: 19249960
references.citation: Stroke. 1995 Jul;26(7):1304-5
references.pmid: 7604432
references.citation: Neurology. 1980 Sep;30(9):986-8
references.pmid: 7191542
references.citation: Stroke. 2000 Aug;31(8):1913-20
references.pmid: 10926956
references.citation: Cerebrovasc Dis. 2006;22(2-3):170-6
references.pmid: 16710083
references.citation: Arch Neurol. 2005 Mar;62(3):393-7
references.pmid: 15767504
references.citation: Circ Cardiovasc Interv. 2008 Oct;1(2):93-4
references.pmid: 20031662
references.citation: J Am Coll Cardiol. 2007 Feb 20;49(7):765-71
references.pmid: 17306705
references.citation: Neurosurgery. 2009 Mar;64(3 Suppl):ons122-8; discussion ons128-9
references.pmid: 19240561
references.citation: J Vasc Res. 2006;43(3):251-69
references.pmid: 16491020
references.citation: Stroke. 2003 Mar;34(3):648-52
references.pmid: 12624286
references.citation: N Engl J Med. 1985 Nov 7;313(19):1191-200
references.pmid: 2865674
references.citation: J Neurosurg. 1986 Jan;64(1):29-34
references.pmid: 3941347
references.citation: J Stroke Cerebrovasc Dis. 1998 Sep-Oct;7(5):302-9
references.pmid: 17895105
references.citation: Acta Neurochir Suppl. 2008;103:73-7
references.pmid: 18496948
references.citation: J Neurosurg. 2009 May;110(5):896-904
references.pmid: 19199456
references.citation: Stroke. 2004 Aug;35(8):e349-52
references.pmid: 15232124
references.citation: AJNR Am J Neuroradiol. 2005 Nov-Dec;26(10):2591-4
references.pmid: 16286407
references.citation: Neuroradiology. 2006 Nov;48(11):847-51
references.pmid: 16900378
references.citation: Cerebrovasc Dis. 2009;28(5):435-8
references.pmid: 19738371
references.citation: Cerebrovasc Dis. 2003;15(4):264-9
references.pmid: 12686790
references.citation: Circ Cardiovasc Interv. 2008 Oct;1(2):119-25
references.pmid: 20031666
references.citation: Cerebrovasc Dis. 2005;20(2):108-13
references.pmid: 16006758
references.citation: Neurology. 1980 Jan;30(1):84-8
references.pmid: 7188640
references.citation: J Neurol Neurosurg Psychiatry. 1996 Jul;61(1):18-25
references.pmid: 8676151
references.citation: Stroke. 1997 Oct;28(10):2084-93
references.pmid: 9341723
references.citation: Am J Physiol Heart Circ Physiol. 2001 Sep;281(3):H1380-9
references.pmid: 11514310
references.citation: Clin Neurol Neurosurg. 2009 May;111(4):319-26
references.pmid: 19201526