Resolution of petrous internal carotid artery stenosis after transluminal angioplasty

1992 ◽  
Vol 76 (3) ◽  
pp. 520-523 ◽  
Author(s):  
Robert C. Rostomily ◽  
Marc R. Mayberg ◽  
Joseph M. Eskridge ◽  
Robert Goodkin ◽  
H. Richard Winn
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Percutaneous Transluminal Angioplasty ◽  
Internal Carotid ◽  
Effective Means ◽  
Indirect Evidence ◽  
Transluminal Angioplasty ◽  
Stenotic Lesion ◽  
Atherosclerotic Stenosis ◽  
Percutaneous Transluminal

✓ Percutaneous transluminal angioplasty is commonly used for treatment of peripheral vascular disease, but only recently has it been applied to craniocervical lesions. The successful use of percutaneous transluminal angioplasty for treatment of an isolated high-grade stenosis of the petrous internal carotid artery is described in a patient with progressive ischemic symptoms despite maximum medical management. At his 2-year follow-up examination, the patient remained asymptomatic with angiographic evidence of progressive resolution of the stenotic lesion and indirect evidence of improved hemispheric blood flow ipsilateral to the lesion. Percutaneous transluminal angioplasty may provide an effective means of treatment for selective intracranial atherosclerotic stenosis.

scholarly journals Stenting for Atherosclerotic Stenosis of the Intracranial or Skull Base Cerebral Arteries

2004 ◽  
Vol 10 (1_suppl) ◽  
pp. 97-100 ◽  
Author(s):  
T. Harakuni ◽  
A. Hyodo ◽  
T. Shingaki ◽  
M. Kugai ◽  
T. Kinjyo ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Skull Base ◽  
Internal Carotid ◽  
Cerebral Arteries ◽  
Transluminal Angioplasty ◽  
Present Condition ◽  
Atherosclerotic Stenosis ◽  
Petrous Portion ◽  
Percutaneous Transluminal

Since May 1992, we have performed percutaneous transluminal angioplasty (PTA) or stenting 70 times for 65 lesions in 62 patients with atherosclerotic stenosis of the intracranial or skull base cerebral arteries. Stenting was carried out nine times for nine lesions in nine cases. Stenting was performed on patients with an average age of 62. The patients were eight men and one woman. The stenotic lesions involved the internal carotid artery (petrous portion) in four cases, the internal carotid artery (cavernous portion) in two cases, the internal carotid artery (supraclinoid portion) in one case, the middle cerebral artery (M1) in one case, and the vertebral artery (V4) in one case. The degree of stenosis ranged from 70% to 99%, with a mean of 80%. A stent for coronary arteries was used in all cases. After PTA was carried out in four cases, their initial extension was inadequate, and dissection was performed in five cases after PTA. As for the results of the treatment, subarachnoid haemorrhage occurred in one case due to perforation by the guidewire, and a major deficit was accepted. During the operation, asymptomatic cerebral infarction by distal embolism occurred in one case. Although obstruction of the lesion occurred three months after treatment in one case, symptoms did not appear. Stents used for atherosclerotic stenosis of the intracranial or skull base cerebral arteries still do not have sufficient performance. Although the stenting had problems, such as a prolonged patent, in the present condition, it was effective in terms of recovery from complications due to PTA.

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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