Percutaneous transluminal angioplasty for bilateral symptomatic internal carotid artery stenosis due to fibromuscular dysplasia

✓ A patient with fibromuscular dysplasia (FMD) of the internal carotid artery was treated by balloon percutaneous transluminal angioplasty (PTA). This is the sixth reported case of FMD stenotic disease which was dilated by PTA. All previous cases including the current example were treated successfully with resolution of symptoms. This procedure is associated with a relatively low morbidity and is an alternative method of treatment to operative endarterectomy for this disorder.

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Percutaneous Transluminal Angioplasty (PTA) with Wallstent for Internal Carotid Artery Stenosis

Interventional Neuroradiology ◽

10.1177/15910199980040s138 ◽

1998 ◽

Vol 4 (1_suppl) ◽

pp. 187-190

Author(s):

J. Nishizaki ◽

Y. Arakawa ◽

A. Ishii ◽

M. Morimoto ◽

H. Yoshizumi ◽

...

Keyword(s):

Carotid Artery ◽

Internal Carotid Artery ◽

Carotid Artery Stenosis ◽

Heart Surgery ◽

Internal Carotid ◽

Artery Bypass ◽

Transluminal Angioplasty ◽

Internal Carotid Artery Stenosis ◽

Artery Stenosis ◽

Stenting Procedure

A 67 year-old male who had suffered from myocardial infarction, was admitted to our clinic to examine his internal carotid artery stenosis revealed by preoperative study for heart surgery. Although he had no neurological symptoms, the angiograms showed severe stenosis of his right internal carotid artery. To improve stenotic internal carotid artery, PTA was performed employing a self-expanding stent. The stenotic right internal carotid artery was improved from 75% to 11% immediately after the stenting though restenosis mildly occurred up to 16% three months later. No complication occurred during this stenting procedure. Afterwards the patient uneventfully received coronary artery bypass grafting (CABG) surgery.

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Percutaneous transluminal angioplasty of fibromuscular dysplasia of the internal carotid artery

CardioVascular and Interventional Radiology ◽

10.1007/bf02552082 ◽

1982 ◽

Vol 5 (2) ◽

pp. 79-81 ◽

Cited By ~ 27

Author(s):

A. Belán ◽

M. Veselá ◽

I. Vaněk ◽

K. Weiss ◽

J. H. Peregrin

Keyword(s):

Carotid Artery ◽

Internal Carotid Artery ◽

Percutaneous Transluminal Angioplasty ◽

Fibromuscular Dysplasia ◽

Internal Carotid ◽

Transluminal Angioplasty ◽

Percutaneous Transluminal

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Results and Problems in Percutaneous Transluminal Angioplasty for Internal Carotid Artery Stenosis

Interventional Neuroradiology ◽

10.1177/15910199980040s105 ◽

1998 ◽

Vol 4 (1_suppl) ◽

pp. 37-40 ◽

Cited By ~ 1

Author(s):

S. Yoshimura ◽

Y. Kaku ◽

T. Ueda ◽

K. Hayashi ◽

Y. Nishimura ◽

...

Keyword(s):

Carotid Artery ◽

Carotid Artery Stenosis ◽

Percutaneous Transluminal Angioplasty ◽

Therapeutic Strategy ◽

Transluminal Angioplasty ◽

Internal Carotid Artery Stenosis ◽

Artery Stenosis ◽

Percutaneous Transluminal ◽

Emergent Surgery

Percutaneous transluminal angioplasty (PTA) is currently performed as a therapeutic strategy for the management of the cervical carotid artery stenosis. In our clinic, PTA was performed successfully in all 24 patients initially. Restenosis was observed in 4 of 24 patients who received 3 to 6 month follow-up angiography. Repeated PTA was performed in 4 patients, 3 of whom were successfully treated, while severe wall dissection occurred in 1 patient. Furthermore, asymptomatic re-restenosis was noted in 1 of 4 patients who received repeated PTA. Dissection was noted in 5 of 28 procedures, which occurred more often in the patients with calcified or restenotic lesions. These results suggest that stenting or emergent surgery should be prepared in PTA of the carotid artery stenosis to avoid major complications, especially when the patients have calcified or restenotic lesions.

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