Urgent Recanalization Using Stents for Acute Internal Carotid Artery Occlusion in Progressive Stroke Patients with Contralateral Chronic Carotid Occlusion.

Lee,  Tae Hong; Park,  Kyung Pil; Choi,  Chang Hwa; Kim,  Hak Jin; Kim,  Chang Won

Case Report

Neurointervention 2006;1(1):76-82.

Tae Hong Lee, Kyung Pil Park, Chang Hwa Choi, Hak Jin Kim, Chang Won Kim

¹Department of Diagnostic Radiology, Pusan National University Hospital, Pusan, Korea. drcello@pusan.ac.kr
²Department of Neurology, Pusan National University Hospital, Pusan, Korea.
³Department of Neurosurgery, Pusan National University Hospital, Pusan, Republic of Korea.

Abstract

The prognosis of symptomatic bilateral internal carotid artery occlusion is extremely poor. To our knowledge, there are few reports regarding the proper management of this catastrophic event. We present two cases of progressive stroke with acute internal carotid artery occlusion and contralateral chronic carotid occlusion, who were treated by urgent recanalization using stents. In two cases, complete recanalization was achieved and the clinical outcomes were favorable. We suggest that early endovascular treatment using stents may salvage the occluded vessel and may also offer a more successful clinical outcome. Further study will be necessary in order to define the proper management of this catastrophic event.

Key Words: Arterial occlusive disease; Internal carotid artery thrombosis; Cerebral revascularization; Stent