scholarly journals Predictors of Functional Outcome after Emergency Carotid Artery Stenting and Intra-Arterial Thrombolysis for Treatment of Acute Stroke Associated with Obstruction of the Proximal Internal Carotid Artery and Tandem Downstream Occlusion

2012 ◽  
Vol 34 (4) ◽  
pp. 841-846 ◽  
Author(s):  
H.S. Kwak ◽  
S.B. Hwang ◽  
G.Y. Jin ◽  
D.S. Hippe ◽  
G.H. Chung
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Acute Stroke ◽  
Functional Outcome ◽  
Carotid Artery Stenting ◽  
Internal Carotid ◽  
Proximal Internal Carotid Artery ◽  
Arterial Thrombolysis

scholarly journals Clinical Comparison of Outcomes of Early versus Delayed Carotid Artery Stenting for Symptomatic Cerebral Watershed Infarction due to Stenosis of the Proximal Internal Carotid Artery

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Huakun Liu ◽  
Jianfeng Chu ◽  
Lei Zhang ◽  
Chaolai Liu ◽  
Zhongrui Yan ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Clinical Data ◽  
Symptom Onset ◽  
Carotid Artery Stenting ◽  
Internal Carotid ◽  
Internal Carotid Artery Stenosis ◽  
Proximal Internal Carotid Artery ◽  
Significant Difference ◽  
Watershed Infarction

The aim of this study was to compare the clinical outcomes of early versus delayed carotid artery stenting (CAS) for symptomatic cerebral watershed infarction (sCWI) patients due to stenosis of the proximal internal carotid artery. We retrospectively collected clinical data of those who underwent early or delayed CAS from March 2011 to April 2014. The time of early CAS and delayed CAS was within a week of symptom onset and after four weeks from symptom onset. Clinical data such as second stroke, the National Institutes of Health Stroke Scale (NHISS) score, and modified Rankin Scale (mRS) score and periprocedural complications were collected. The rate of second stroke in early CAS group is lower when compared to that of delayed CAS group. There was no significant difference regarding periprocedural complications in both groups. There was a significant difference regarding mean NHISS score 90 days after CAS in two groups. Early CAS group had a significant better good outcome (mRS score ≤ 2) than delayed CAS group. We suggest early CAS for sCWI due to severe proximal internal carotid artery stenosis as it provides lower rate of second stroke, comparable periprocedural complications, and better functional outcomes compared to that of delayed CAS.

scholarly journals Emergency Cervical Internal Carotid Artery Stenting in Combination with Intracranial Thrombectomy in Acute Stroke

2013 ◽  
Vol 35 (4) ◽  
pp. 741-746 ◽  
Author(s):  
S. Stampfl ◽  
P. A. Ringleb ◽  
M. Mohlenbruch ◽  
C. Hametner ◽  
C. Herweh ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Acute Stroke ◽  
Carotid Artery Stenting ◽  
Internal Carotid ◽  
Cervical Internal Carotid Artery

scholarly journals Intra-arterial Thrombolysis of Embolic Middle Cerebral Artery Using Collateral Pathways

2005 ◽  
Vol 32 (2) ◽  
pp. 257-260 ◽  
Author(s):  
Max K. Kole ◽  
David M. Pelz ◽  
Donald H. Lee ◽  
Vivek Jain ◽  
J. David Spence ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Internal Carotid ◽  
Posterior Communicating Artery ◽  
Thrombotic Occlusion ◽  
Proximal Internal Carotid Artery ◽  
Cervical Internal Carotid Artery ◽  
Arterial Thrombolysis

ABSTRACT:Background and purpose:Cervical internal carotid artery (ICA) occlusion associated with middle cerebral artery (MCA) embolic occlusion requires prompt revascularization to prevent devastating stroke. With the advent of endovascular techniques for chemical and mechanical thrombolysis, the clinical outcome of patients with major arterial occlusions will improve. Finding the most expedient pathway to the site of end organ occlusion for thrombolysis is important.Methods:We present two cases of acute stroke secondary to thrombotic occlusion of the cervical ICA associated with MCA embolic occlusion treated with intra-arterial thrombolysis via catheter navigation through the posterior communicating artery to the site of MCA arterial occlusion. No attempt was made to transverse the occluded ICA.Results:Near complete restoration of flow was achieved in one patient and minimal vessel reopening was observed in the other patient. Both patients had good outcomes.Conclusion:Intraarterial thrombolysis via Circle of Willis collaterals such as the posterior communicating artery for the treatment of acute thrombotic occlusion of the cervical internal carotid artery associated with embolic occlusion of the middle cerebral artery is a therapeutic option. This treatment option avoids the potential complications of navigating through an occluded proximal internal carotid artery and may expedite reopening of the MCA.

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