Carotid stump syndrome: pathophysiology and endovascular treatment options.
Carotid stump syndrome is one of the recognised causes of recurrent ipsilateral cerebrovascular events after occlusion of the internal carotid artery. It is believed that microemboli arising from the stump of the occluded internal carotid artery or the ipsilateral external carotid artery can pass into the middle cerebral artery circulation as a result of patent external carotid-internal carotid anastomotic channels. Different pathophysiologic causes of this syndrome and endovascular options for treatment are discussed.
Lakshminarayan
Raghuram
R
Department of Radiology, Hull Royal Infirmary, Hull, East Yorkshire HU3 2JZ, UK.
Scott
Paul M
PM
Robinson
Graham J
GJ
Ettles
Duncan F
DF
D000368:Aged; D000497:Alloys; D015901:Angiography, Digital Subtraction; D017130:Angioplasty; D002341:Carotid Artery Thrombosis / Q000175:diagnosis / Q000503:physiopathology* / Q000628:therapy*; D017536:Carotid Artery, Common; D002342:Carotid Artery, External / Q000503:physiopathology*; D002343:Carotid Artery, Internal / Q000503:physiopathology*; D020099:Coated Materials, Biocompatible; D004867:Equipment Design; D005260:Female; D006801:Humans; D020766:Intracranial Embolism / Q000175:diagnosis / Q000503:physiopathology* / Q000628:therapy*; D002546:Ischemic Attack, Transient / Q000175:diagnosis / Q000503:physiopathology* / Q000628:therapy*; D018810:Magnetic Resonance Angiography; D008297:Male; D008875:Middle Aged; D015607:Stents; D013577:Syndrome; D018615:Ultrasonography, Doppler, Color
D000497:Alloys; D020099:Coated Materials, Biocompatible; C013616:nitinol