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Neurointervention 2006;1(1):76-82.
Urgent Recanalization Using Stents for Acute Internal Carotid Artery Occlusion in Progressive Stroke Patients with Contralateral Chronic Carotid Occlusion.
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
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