scholarly journals Percutaneous Transluminal Angioplasty and Stenting for Chronic Total Occlusion of Intracranial Carotid Artery

2006 ◽  
Vol 12 (3) ◽  
pp. 263-268 ◽  
Author(s):  
H. Ishihara ◽  
N. Sakai ◽  
T. Kuroiwa ◽  
M. Sakaguchi ◽  
A. Morizane ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Percutaneous Transluminal Angioplasty ◽  
Chronic Total Occlusion ◽  
Internal Carotid ◽  
Therapeutic Option ◽  
Transluminal Angioplasty ◽  
Total Occlusion ◽  
Cerebrovascular Lesions ◽  
Percutaneous Transluminal

Chronic total occlusion of cerebrovascular lesions is regarded as a contraindication to revascularization. We describe a case of chronic total occlusion of intracranial internal carotid artery that iwass successfully recanalized by endovascular treatment. A 72-year-old man who presented with slight right hemiparesis was proved to have chronic total occlusion of the left intracranial internal carotid artery. Percutaneous transluminal angioplasty/stenting was achieved using reversal of flow with the Parodi Anti-Embolic System. The present case indicates that percutaneous transluminal angioplasty/stenting can be an effective therapeutic option in selected patients with chronic total occlusion of cerebrovascular lesions.

Percutaneous transluminal angioplasty of the internal carotid artery

1997 ◽  
Vol 84 (5) ◽  
pp. 726-726
Author(s):  
P. A. Gaines ◽  
J. D. Beard ◽  
T. J. Cleveland ◽  
K. G. Burnand ◽  
C. L. McGuinness
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Percutaneous Transluminal Angioplasty ◽  
Internal Carotid ◽  
Transluminal Angioplasty ◽  
Percutaneous Transluminal

Failure of Transluminal Angioplasty in the Treatment of Myointimal Hyperplasia of the Internal Carotid Artery: Case Report

Neurosurgery ◽  
1991 ◽  
Vol 28 (1) ◽  
pp. 148-151 ◽  
Author(s):  
Frank Culicchia ◽  
Robert F. Spetzler ◽  
Richard A. Flom
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Percutaneous Transluminal Angioplasty ◽  
Carotid Arteries ◽  
Internal Carotid ◽  
Transluminal Angioplasty ◽  
Angiographic Study ◽  
Vessel Lumen ◽  
Percutaneous Transluminal

Abstract Recurrent stenosis of the carotid arteries after a carotid endarterectomy for atherosclerosis can occur as a result of myointimal hyperplasia. This condition was treated by percutaneous transluminal angioplasty. Excellent dilatation of the vessel lumen was documented after balloon dilatation. A 6-month follow-up angiographic study, however, demonstrated recurrent high-grade stenosis at the same level in both carotid arteries. Presumably, the failure of percutaneous transluminal angioplasty and the treatment of myointimal hyperplasia of the internal carotid artery results in the same condition after the original endarterectomy, that is, additional myointimal hyperplasia.

2D-TOF MRA Follow-up Study of Percutaneous Transluminal Angioplasty for Severely Stenotic Cervical Internal Carotid Artery

1997 ◽  
Vol 3 (2_suppl) ◽  
pp. 187-189
Author(s):  
T. Ueda ◽  
S. Yoshimura ◽  
Y. Kaku ◽  
S. Shirakami ◽  
T. Andoh ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Percutaneous Transluminal Angioplasty ◽  
Internal Carotid ◽  
Transluminal Angioplasty ◽  
Intimal Flap ◽  
Follow Up Study ◽  
Percutaneous Transluminal ◽  
Cervical Internal Carotid Artery

Percutaneous transluminal angioplasty (PTA) for severe arteriosclerotic stenosis in the cervical internal carotid artery (ICA) was successfully carried out in 23 cases between December 1994 and August 1996. In order to analyze the condition of the cervical ICA in the early stage after PTA, 12 stenotic lesions of 11 cases were exposed to follow-up study of stenotic cervical ICA after PTA with magnetic resonance angiography (MRA) 1 to 150 days postoperatively. In six lesions, the diameter of the cervical ICA was dilated sequentially. In another four lesions, the diameter of the cervical ICA was decreased in the first three weeks and dilated over the next three weeks. Angiographically, these lesions had a small intimal flap at the balloon dilated portion, which was speculated to cause the turbulent flow in the first stage. In the remaining 2 lesions, restenotic changes in cervical ICAs were observed within three weeks after PTA. Follow-up angiography was performed over three months after PTA in five cases of this series and compared with MRA. Consequently, the diameters of the cervical ICA between angiography and MRA were closely correlated. The evaluation of the lesion after PTA of the cervical ICA demonstrated that MRA is beneficial, but within three weeks after PTA, caution should be paid for underestimation of the small intimal flap on MRA.

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