1. Chronic occlusion of the internal carotid artery: Endovascular revascularization technique of long occlusive lesions
- Author
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Carlos Riquelme, Alain Bonafe, Federico Cagnazzo, Cyril Dargazanli, Imad Derraz, Vincent Costalat, Pierre-Henri Lefevre, Gregory Gascou, Département de Neuroradiologie[Montpellier], and Université Montpellier 1 (UM1)-Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier)-Hôpital Gui de Chauliac [Montpellier]-Université de Montpellier (UM)
- Subjects
Carotid Artery Diseases ,Male ,medicine.medical_specialty ,Endovascular revascularization ,MESH: Endovascular Procedures ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,0302 clinical medicine ,MESH: Carotid Stenosis ,medicine.artery ,MESH: Cerebral Revascularization ,medicine ,[INFO.INFO-IM]Computer Science [cs]/Medical Imaging ,Humans ,Carotid Stenosis ,Radiology, Nuclear Medicine and imaging ,cardiovascular diseases ,Aged ,MESH: Treatment Outcome ,MESH: Aged ,Chronic occlusion ,MESH: Humans ,MESH: Middle Aged ,Cerebral Revascularization ,Radiological and Ultrasound Technology ,business.industry ,MESH: Carotid Artery Diseases ,Endovascular Procedures ,Endovascular recanalization ,Middle Aged ,MESH: Male ,3. Good health ,Hypoperfusion ,Treatment Outcome ,Chronically occluded internal carotid artery ,cardiovascular system ,Female ,Neurology (clinical) ,Radiology ,Internal carotid artery ,business ,Perfusion ,MESH: Female ,030217 neurology & neurosurgery ,[SDV.MHEP]Life Sciences [q-bio]/Human health and pathology ,Carotid stents - Abstract
Background Despite series of endovascular recanalization of chronically occluded ICA (COICA) have been already reported, technical aspects of this strategy were not described. We discussed technical details and feasibility of this strategy. Clinical presentation Five COICA (C1-cavernous ICA) patients presenting symptomatic hypoperfusion were recanalized with multiple coronary and carotid stents. All patients experienced long-term reperfusion with resolution of the clinical symptoms. Conclusion Endovascular revascularization of COICA appears feasible and associated with improvement of the hypoperfusion.
- Published
- 2020