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

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

• Lee TH
• Park KP
• Choi CH
• Kim HJ
• Kim CW

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.

Keyword

Arterial occlusive disease; Internal carotid artery thrombosis; Cerebral revascularization; Stent

MeSH Terms

Arterial Occlusive Diseases
Carotid Artery Thrombosis
Carotid Artery, Internal*
Cerebral Revascularization
Humans
Prognosis
Stents*
Stroke*