External carotid artery angioplasty and stenting to augment cerebral perfusion in the setting of subacute symptomatic ipsilateral internal carotid artery occlusion. Case report

J Neurosurg. 2007 Dec;107(6):1217-22. doi: 10.3171/JNS-07/12/1217.

Abstract

The authors performed external carotid artery (ECA) angioplasty and stenting in a 45-year-old man who had presented with right hemispheric crescendo ischemic symptoms stemming from acute right internal carotid artery occlusion (ICAO). This unique application of ECA angioplasty and stenting augmented cerebral perfusion and improved clinical symptoms. In certain situations, ECA stenting can increase cerebral perfusion in the setting of ICAO and ECA stenosis. The authors are the first to describe this approach in this context.

Publication types

  • Case Reports

MeSH terms

  • Angiography, Digital Subtraction
  • Angioplasty, Balloon*
  • Arterial Occlusive Diseases / complications
  • Arterial Occlusive Diseases / diagnosis
  • Arterial Occlusive Diseases / therapy*
  • Carotid Artery Diseases / complications
  • Carotid Artery Diseases / diagnosis
  • Carotid Artery Diseases / therapy*
  • Carotid Artery, External*
  • Carotid Artery, Internal*
  • Cerebral Angiography
  • Cerebral Infarction / etiology
  • Humans
  • Magnetic Resonance Angiography
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Retreatment
  • Stents*