scholarly journals Transoral Carotid Ultrasonography Is Useful for Detection and Follow-Up of Extracranial Internal Carotid Artery Dissecting Aneurysm

2007 ◽  
Vol 24 (1) ◽  
pp. 144-146 ◽  
Author(s):  
Yusuke Yakushiji ◽  
Yukinori Takase ◽  
Masafumi Kosugi ◽  
Hiroharu Inoue ◽  
Akira Uchino ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Dissecting Aneurysm ◽  
Extracranial Internal Carotid Artery ◽  
Carotid Ultrasonography

Abstract TMP31: Hyperacute Extracranial Internal Carotid Artery Stenting vs Angioplasty: Which is the Best for Recanalization?

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Noelia Rodriguez-Villatoro ◽  
David Rodriguez-Luna ◽  
Marc Ribó ◽  
Marian Muchada ◽  
Jorge Pagola ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Demographic Data ◽  
Specific Treatment ◽  
Previous Treatment ◽  
Extracranial Internal Carotid Artery ◽  
Severe Stenosis ◽  
Extracranial Ica

Background: Up to 20% of acute intracranial occlusions have an associated extracranial internal carotid artery (ICA) severe stenosis or occlusion, and they often need specific treatment. However, it remains unclear which is the best option for extracranial revascularization. We aimed to study differences in restenosis, complications, and stroke recurrences between patients treated with stenting and those who underwent angioplasty without stenting. Methods: Prospective study of consecutive patients with non-cardioembolic ischemic stroke and occlusion or severe stenosis of the extracranial ICA, who underwent hyperacute endovascular procedure from April 2013 to December 2015. We divided patients depending on the extracranial treatment they received. We compared the rate of stenosis >50% or occlusion of the ICA at 24 hours (evaluated by carotid ultrasound or CTA). Besides, we analyzed differences in complications and stroke recurrences within 1 year of follow-up. Results: From 97 patients who underwent hyperacute revascularization of the extracranial ICA, 63 fulfilled the inclusion criteria: mean age 65.6±13.6 years, median time from symptoms onset to treatment 249 [161-330] minutes. Thirty-one (49.2%) were treated with angioplasty and 32 (50.8%) with stent. Both groups were comparable in demographic data, vascular risk factors, previous treatment (including antiplatelets), and ASPECTS score. Thirty-seven (58.7%) received intravenous rtPA and 58 (92.1%) intracranial thrombectomy. Patients who underwent angioplasty presented stenosis >50% or occlusion at 24h more frequently than those who underwent stenting (67.7% vs 21.9% , p =0.002), regardless the degree of residual stenosis after the angioplasty. Thirteen (38.1%) of the angioplasties were permeable at 24 hours, nevertheless 39.1% needed a deferred stenting. There were no differences in complications, including intracranial hemorrhage, despite intravenous rtPA or early double antiplatelet therapy, as well as in stroke recurrences within 1 year ( p >0.05 for all comparisons). Conclusions: Hyperacute extracranial ICA stenting seems to have a lower risk of restenosis compared to angioplasty, without a significant increase of complications and stroke recurrences

scholarly journals Ruptured dissecting aneurysm in communicating internal carotid artery segments treated using a stent-assisted endovascular technique

2018 ◽  
Vol 24 (2) ◽  
pp. 130-134 ◽  
Author(s):  
Chae Wook Huh ◽  
Sung-Chul Jin
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Glasgow Outcome Scale ◽  
Internal Carotid ◽  
Neurological Complications ◽  
Dissecting Aneurysm ◽  
Digital Subtraction ◽  
Endovascular Technique ◽  
Dissecting Aneurysms

Hemorrhagic intracranial dissecting aneurysms are known to have a poor natural history and an increased tendency to rebleed. The communicating segment of the internal carotid artery (ICA) is an infrequent site of dissection that is difficult to manage using deconstructive endovascular treatment because of the need to preserve important vascular branches. We report two cases of ruptured dissecting aneurysms that occurred in communicating segments of the ICA and treated using a reconstructive endovascular technique involving stent-assisted coiling. Case 1 was a 59-year-old woman who was diagnosed with subarachnoid hemorrhage (SAH). Digital subtraction angiography (DSA) indicated a ruptured dissecting aneurysm that arose from the left communicating segment of the ICA. Stent-assisted coiling was performed and followed by a second overlapping stent technique. No deterioration was observed on DSA after one week of follow-up or on magnetic resonance angiography (MRA) after four months of follow-up. The patient was discharged without neurological complications (Glasgow Outcome Scale 5). Case 2 was a 34-year-old man who was admitted with a diagnosis of SAH. DSA revealed a suspected lesion of a ruptured dissecting aneurysm of the left communicating segment of the ICA. Stent-assisted coiling was performed, and partial occlusion was achieved. No deterioration was observed on DSA after two weeks of follow-up or on MRA after six months of follow-up. The patient was discharged without neurological complications (Glasgow Outcome Scale 5). These cases suggest that using stent-assisted coiling could be a feasible modality for treating ruptured ICA dissecting aneurysms in the communicating segment.

scholarly journals Extracranial internal carotid artery aneurysms: Results of a surgical series with long-term follow-up

1996 ◽  
Vol 23 (4) ◽  
pp. 587-595 ◽  
Author(s):  
GianLuca Faggioli ◽  
Antonio Freyrie ◽  
Andrea Stella ◽  
Luciano Pedrini ◽  
Mauro Gargiulo ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Extracranial Internal Carotid Artery ◽  
Long Term Follow Up
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