Hybrid surgery for symptomatic chronic complete occlusion of the internal carotid artery: A case report

被引:2
作者
Yi He
Bing Wang
机构
[1] DepartmentofVascularSurgery,TheFifthAffiliatedHospitalofZhengzhouUniversity
关键词
Angioplasty; Complete internal carotid artery occlusion; Endarterectomy; Endovascular; Hybrid; Stenting; Stroke; Total occlusion of carotid artery;
D O I
暂无
中图分类号
R651.12 [];
学科分类号
1002 ; 100210 ;
摘要
Currently, there are antiplatelet drugs, extracranial-intracranial(EC-IC) vascular bypass, carotid endarterectomy(CEA), endovascular intervention(EI), and other revascularization procedures for symptomatic chronic internal carotid artery occlusion(CICAO). In consulting the literature, we found that existing techniques for single treatments cannot achieve satisfactory results when there is a long segment occlusion with plaque attached to the intracranial segment and a short stump at the initial segment. We reported the case of a 50-year-old male patient with blurred vision, headache, and weakness in the right upper limb. After the exclusion of other neurological diseases, he was diagnosed with symptomatic CICAO; the occlusion segment was long and the stump was too short. We performed a novel hybrid surgery for the patient—a carotid endarterectomy combined with internal carotid artery stenting. After 6 months of follow-up, computed tomography angiography(CTA) confirmed that the left internal carotid artery was unobstructed, and the symptoms were relieved. A brief review of the literature is presented in addition to this report.
引用
收藏
页码:171 / 177
页数:7
相关论文
共 10 条
[1]   To Intervene or Not to Intervene in Chronic Cerebral Ischemia: Endovascular Revascularization [J].
Rangel-Castilla, Leonardo ;
Levy, Elad I. .
WORLD NEUROSURGERY, 2015, 84 (06) :1513-1516
[2]   2015 American Heart Association/American Stroke Association Focused Update of the 2013 Guidelines for the Early Management of Patients With Acute Ischemic Stroke Regarding Endovascular Treatment A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association [J].
Powers, William J. ;
Derdeyn, Colin P. ;
Biller, Jose ;
Coffey, Christopher S. ;
Hoh, Brian L. ;
Jauch, Edward C. ;
Johnston, Karen C. ;
Johnston, S. Claiborne ;
Khalessi, Alexander A. ;
Kidwell, Chelsea S. ;
Meschia, James F. ;
Ovbiagele, Bruce ;
Yavagal, Dileep R. .
STROKE, 2015, 46 (10) :3020-3035
[3]   In Vivo Imaging of the Mouse Neurovascular Unit Under Chronic Cerebral Hypoperfusion [J].
Yata, Kenichiro ;
Nishimura, Yuhei ;
Unekawa, Miyuki ;
Tomita, Yutaka ;
Suzuki, Norihiro ;
Tanaka, Toshio ;
Mizoguchi, Akira ;
Tomimoto, Hidekazu .
STROKE, 2014, 45 (12) :3698-+
[4]   Clinical significance of STA-MCA double anastomosis for hemodynamic compromise in post-JET/COSS era [J].
Kuroda, Satoshi ;
Kawabori, Masahito ;
Hirata, Kenji ;
Shiga, Tohru ;
Kashiwazaki, Daina ;
Houkin, Kiyohiro ;
Tamaki, Nagara .
ACTA NEUROCHIRURGICA, 2014, 156 (01) :77-83
[5]   Procedural Safety and Potential Vascular Complication of Endovascular Recanalization for Chronic Cervical Internal Carotid Artery Occlusion [J].
Lin, Mao-Shin ;
Lin, Lung-Chun ;
Li, Hung-Yuan ;
Lin, Cheng-Hsin ;
Chao, Chi-Chao ;
Hsu, Chih-Neng ;
Lin, Yen-Hung ;
Chen, Shih-Chung ;
Wu, Yen-Wen ;
Kao, Hsien-Li .
CIRCULATION-CARDIOVASCULAR INTERVENTIONS, 2008, 1 (02) :119-125
[6]   Dual antiplatelet therapy with clopidogrel and aspirin in symptomatic carotid stenosis evaluated using Doppler embolic signal detection - The Clopidogrel and Aspirin for Reduction of Emboli in Symptomatic Carotid Stenosis (CARESS) trial [J].
Markus, HS ;
Droste, DW ;
Kaps, M ;
Larrue, V ;
Lees, KR ;
Siebler, M ;
Ringelstein, EB .
CIRCULATION, 2005, 111 (17) :2233-2240
[7]   Aspirin and clopidogrel compared with clopidogrel alone after recent ischaemic stroke or transient ischaemic attack in high-risk patients (MATCH): randomised, double-blind, placebo-controlled trial [J].
Diener, HC ;
Bogousslavsky, J ;
Brass, LM ;
Cimminiello, C ;
Csiba, L ;
Kaste, M ;
Leys, D ;
Matias-Guiv, J ;
Rupprecht, HJ .
LANCET, 2004, 364 (9431) :331-337
[8]   Long-term prognosis of medically treated patients with internal carotid or middle cerebral artery occlusion - Can acetazolamide test predict it? [J].
Kuroda, S ;
Houkin, K ;
Kamiyama, H ;
Mitsumori, K ;
Iwasaki, Y ;
Abe, H .
STROKE, 2001, 32 (09) :2110-2115
[9]  
Preview of a New Trial of Extracranial-to-Intracranial Arterial Anastomosis: The Carotid Occlusion Surgery Study.[J].Harold P. Adams;William J. Powers;Robert L. Grubb;William R. Clarke;Robert F. Woolson.Neurosurgery Clinics of North America.2001, 3
[10]   Recurrent ischemia in symptomatic carotid occlusion - Prognostic value of hemodynamic factors [J].
Klijn, CJM ;
Kappelle, LJ ;
van Huffelen, AC ;
Visser, GH ;
Algra, A ;
Tulleken, CAF ;
van Gijn, J .
NEUROLOGY, 2000, 55 (12) :1806-1812