Endovascular Management of Long-Segmental Petrocavernous Internal Carotid Artery (Carotid S) Occlusion / 대한뇌졸중학회지
Journal of Stroke
;
: 336-343, 2015.
Article
Dans Anglais
| WPRIM
| ID: wpr-33651
ABSTRACT
BACKGROUND AND PURPOSE:
Long-segmental thrombotic occlusion of the distal internal carotid artery (ICA) sparing the cervical segment proximally and the supraclinoid segment distally, which could be termed 'Carotid S occlusion', has an unusual clinical presentation. However, endovascular management of this lesion is challenging. The purpose of our study is to report our endovascular treatment clinical experience of the disease.METHODS:
From March 2008 to June 2013, we could identify 14 patients (average age 62.1, median age 62, range 50-79) with \'Carotid S occlusion', who underwent endovascular recanalization procedures. Patient's clinical presentations were collected and the imaging findings also analyzed. The technical success rate, 24-hour and follow-up imaging outcome, and the clinical outcome using the 90-day mRS (modified Rankin scale) score were evaluated.RESULTS:
Patients presented with gradually progressing (n = 8), fluctuating (n = 3), transient ischemic attack (n = 2) and stationary (n = 1) symptoms. DWI showed internal and external border-zone lesions in six patients, only internal ICA border-zone lesions in three patients, and only external border-zone lesions in two patients. Underlying distal ICA stenosis was noted in 12 patients. The technical success rate was 92.8% (13/14). Luminal patency was noted in all patients (100%) after 24 hours and in nine of 10 (90%) on long-term follow-up (median 6.5, average 15.1, range 1-39 months). A 90-day, good functional outcome (mRS < or = 2) was noted in 13 of 14 patients (92.8%).CONCLUSIONS:
\'Carotid S occlusion' usually presented with border-zone infarction and endovascular management of the lesions was feasible. A relatively successful clinical outcome could be achieved after successful revascularization.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Phénobarbital
/
Artère carotide interne
/
Endoprothèses
/
Accident ischémique transitoire
/
Études de suivi
/
Angioplastie par ballonnet
/
Sténose pathologique
/
Accident vasculaire cérébral
/
Athérosclérose
/
Infarctus
Type d'étude:
Étude observationnelle
/
Étude pronostique
Limites du sujet:
Humains
langue:
Anglais
Texte intégral:
Journal of Stroke
Année:
2015
Type:
Article
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