Abstract
In acute carotid artery occlusion, hemodynamic compromise in addition to artery–artery thromboembolism is the mechanism of ischemia that may lead to a progressive clinical course with enlarging infarcts. The natural course of carotid artery occlusion with a progressive stroke is unfavorable with only about 10% of patients making a good recovery. We report on two patients in whom emergency recanalization of acute carotid artery occlusion with self-expanding stents restored cerebral blood flow and held up progressive stroke.
Similar content being viewed by others
References
Kang DW, Chu K, Ko SB, Kwon SJ, Yoon BW, Roh JK (2002) Lesion patterns and mechanism of ischemia in internal carotid artery disease: a diffusion-weighted imaging study. Arch Neurol 59:1577–1582
Ringelstein EB, Zeumer H, Angelou D (1983) The pathogenesis of strokes from internal carotid artery occlusion. Diagnostic and therapeutical implications. Stroke 4:867–875
Huber R, Muller BT, Seitz RJ, Siebler M, Modder U, Sandmann W (2003) Carotid surgery in acute symptomatic patients. Eur J Vasc Endovasc Surg 25:60–67
Berkefeld J, Turowski B, Dietz A, Lanfermann H, Sitzer M, Schmitz-Rixen T, Steinmetz H, Zanella FE (2002) Recanalization results after carotid stent placement. AJNR 23:113–120
Levy DI (1998) Endovascular treatment of carotid artery occlusion in progressive stroke syndromes: technical note. Neurosurgery 42:186–191
Bellon RJ, Putman CM, Budzik RF, Pergolizzi RS, Reinking GF, Norbash AM (2001) Rheolytic thrombectomy of the occluded internal carotid artery in the setting of acute ischemic stroke. AJNR 22:526–530
Endo S, Kuwayama N, Hirashima Y, Akai T, Nishijima M, Takaku A (1998) Results of urgent thrombolysis in patients with major stroke and atherothrombotic occlusion of the cervical internal carotid artery. AJNR 19:1169–1175
Meyer FB, Sundt TM Jr, Piepgras DG, Sandok BA, Forbes G (1986) Emergency carotid endarterectomy for patients with acute carotid occlusion and profound neurological deficits. Ann Surg 203:82-89
Neumann-Haefelin T, Wittsack HJ, Fink GR, Wenserski F, Li TQ, Seitz RJ, Siebler M, Modder U, Freund HJ (2000) Diffusion- and perfusion-weighted MRI: influence of severe carotid artery stenosis on the DWI/PWI mismatch in acute stroke. Stroke 31:1311–1317
Kastrup A, Groschel K, Krapf H, Brehm BR, Dichgans J, Schulz JB (2003) Early outcome of carotid angioplasty and stenting with and without cerebral protection devices: a systematic review of the literature. Stroke 34:813–819
Author information
Authors and Affiliations
Corresponding author
Additional information
There are no potential conflicts of interest.
Rights and permissions
About this article
Cite this article
du Mesnil de Rochemont, R., Sitzer, M., Neumann-Haefelin, T. et al. Endovascular recanalization of acute atherothrombotic carotid artery occlusion holds up progressive stroke. Neuroradiology 46, 583–586 (2004). https://doi.org/10.1007/s00234-004-1214-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00234-004-1214-2