Endovascular Stent Placement for Multiple Aneurysms of the Extracranial Internal Carotid Artery

Neurosurgery ◽  
1995 ◽  
Vol 37 (4) ◽  
pp. 832-835 ◽  
Author(s):  
Mitsuhito Mase ◽  
Tatsuo Banno ◽  
Kazuo Yamada ◽  
Hiroyuki Katano
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Stent Placement ◽  
Internal Carotid ◽  
Endovascular Stent ◽  
Extracranial Internal Carotid Artery ◽  
Multiple Aneurysms ◽  
Endovascular Stent Placement

scholarly journals Treatment of Internal Carotid Artery Dissections with Endovascular Stent Placement: Report of Two Cases

2001 ◽  
Vol 2 (1) ◽  
pp. 52 ◽  
Author(s):  
Deok Hee Lee ◽  
Seung Ho Hur ◽  
Hyeon Gak Kim ◽  
Seung Mun Jung ◽  
Dae Sik Ryu ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Stent Placement ◽  
Internal Carotid ◽  
Endovascular Stent ◽  
Endovascular Stent Placement

scholarly journals Endovascular Treatment of Extracranial Internal Carotid Pseudoaneurysm: Description of Three Cases

2016 ◽  
Vol 02 (02) ◽  
pp. e15-e18 ◽  
Author(s):  
Andrea Giorgianni ◽  
Carlo Pellegrino ◽  
Camilla Micieli ◽  
Anna Mercuri ◽  
Renzo Minotto ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Endovascular Treatment ◽  
Surgical Approach ◽  
Stent Placement ◽  
Internal Carotid ◽  
Carotid Dissection ◽  
Endovascular Stent ◽  
Artery Pseudoaneurysm ◽  
Endovascular Stent Placement

The aim of this study is to explore the possibility of endovascular treatment of internal carotid artery pseudoaneurysm (PSA). These lesions are difficult to treat with a surgical approach, especially if they are located extracranially and close to the skull base. Endovascular stent placement in symptomatic and unstable extracranial internal carotid PSA was found to be safe and effective. Depending on hemodynamic aspects, complete local exclusion of aneurysmal formation is achieved in few months. We present three patients with carotid dissection and PSA formation that have been successfully treated by stent placement.

Recanalization of a Symptomatic Extracranial Internal Carotid Artery Near Occlusion with Proximal and Distal Protection

Neurosurgery ◽  
2007 ◽  
Vol 61 (1) ◽  
pp. E174-E174 ◽  
Author(s):  
Randall C. Edgell ◽  
Dileep R. Yavagal ◽  
Celso Agner ◽  
Matthew Adamo ◽  
Alan S. Boulos
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Stent Placement ◽  
Internal Carotid ◽  
Artery Occlusion ◽  
Extracranial Internal Carotid Artery ◽  
Symptomatic Carotid ◽  
Guide Catheter ◽  
Protection Devices ◽  
Near Occlusion

Abstract OBJECTIVE To describe a novel approach to recanalizing symptomatic extracranial internal carotid artery near occlusion using proximal and distal emboli protection devices. METHODS Patients presenting with symptomatic extracranial internal carotid artery near occlusion who underwent endovascular recanalization between October 2004 and July 2005 were included in this study. During these procedures, a 9-French Concentric Balloon Guide Catheter (Concentric Medical, Mountain View, CA) was advanced into the common carotid artery proximal to the site of occlusion. During the prestent angioplasty of the lesion, the proximal balloon was inflated and aspiration was performed. After initial angioplasty and before stent placement, a distal filter protection device was placed in the distal internal carotid artery. Stent placement and repeat angioplasty were performed with both protection devices active. All patients were placed on dual antiplatelet therapy. RESULTS There were four patients treated with a mean age of 74 years; three of these four patients were men. All patients had signs of ischemia and carotid occlusion or near occlusion on noninvasive imaging. Three right internal carotid arteries were treated. All patients were successfully recanalized. No procedurally related complications or deaths occurred. CONCLUSION This series demonstrates the feasibility of recanalization of symptomatic carotid artery occlusion or near occlusion using proximal and distal emboli protection devices. Such an approach may provide an added level of safety during carotid recanalization procedures.

scholarly journals Stenting of the cervical internal carotid artery in acute stroke management: The Karolinska experience

2016 ◽  
Vol 23 (2) ◽  
pp. 159-165 ◽  
Author(s):  
Anastasios Mpotsaris ◽  
Christoph Kabbasch ◽  
Jan Borggrefe ◽  
Vamsi Gontu ◽  
Michael Soderman
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Retrospective Analysis ◽  
Stent Placement ◽  
Internal Carotid ◽  
Mechanical Thrombectomy ◽  
Intravenous Thrombolysis ◽  
Tissue Type ◽  
Extracranial Internal Carotid Artery ◽  
Anterior Circulation

Background Emergency stent placement in the extracranial internal carotid artery in combination with anterior circulation thrombectomy is a routine procedure. Yet, precise indications and clinical safety in this setting remains controversial. Present data for mechanical thrombectomy include few studies with acute stenting of tandem occlusions. We evaluated the feasibility, safety and clinical outcome of this endovascular treatment in a retrospective analysis of all consecutive cases at a comprehensive stroke centre. Methods This was a retrospective analysis of all consecutive patients with acute extracranial carotid artery occlusion including acute dissection or high-grade stenosis and concomitant intracranial large-vessel occlusion treated with emergency carotid stenting and intracranial mechanical thrombectomy between November 2007 and May 2015. Results A total of 63 patients with a median age of 67 years (range 33–84 years) were treated. Of these, 33 (52%) patients had concomitant intravenous thrombolysis with recombinant tissue-type plasminogen activator initially. Median admission National Institutes of Health Stroke Scale was 14 (range 1–29). Median time from stroke onset to recanalization was 408 minutes (range 165–1846 minutes). Procedure time was significantly shorter after intravenous thrombolysis (110 minutes [range 15–202 minutes] vs. 130 minutes [range 60–280 minutes]; p = 0.02). Three (5%) patients experienced post-procedural symptomatic intracerebral haemorrhage. In 55/63 (87%) patients, a score of ≥2b on the Thrombolysis in Cerebral Infarction scale could be achieved. Eight (13%) patients died, five (8%) during the acute phase. A total of 29/63 (46%) patients showed a favourable outcome (modified Rankin Scale score of 0–2) after three months. Conclusions Our single-centre retrospective analysis of emergency stent placement in the extracranial internal carotid artery in combination with anterior circulation thrombectomy demonstrated high technical success, reasonable clinical outcomes and acceptable rates of symptomatic intracranial haemorrhage in carefully chosen patients which are triaged interdisciplinary based on clinical and computed tomography imaging criteria. This warrants further study in a randomised prospective trial.

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