Skip to main content Accessibility help
×
Home

Endovascular Revascularization of a Symptomatic Common Carotid Artery Occlusion

  • Julie Kromm (a1) (a2), Tim E. Darsaut (a3), Khurshid Khan (a1), Robert Ashforth (a4) and Esseddeeg Ghrooda (a5)...

Abstract

Although the common carotid artery is the second most common site for extracranial carotid artery stenosis, complete symptomatic occlusion in the absence of devastating stroke is rare. We present a case of complete common carotid artery occlusion failing medical management and requiring endovascular intervention. The clinical presentation, diagnostic investigations, and management of complete carotid artery occlusions are discussed.

Revascularisation endovasculaire à la suite de l’occlusion symptomatique de l’artère carotide commune. Bien que l’artère carotide commune soit le deuxième vaisseau de l’appareil circulatoire où se produit le plus fréquemment une sténose extracrânienne, une occlusion complète et symptomatique demeure rare en l’absence d’un AVC dévastateur. Nous voulons présenter un cas d’occlusion complète de l’artère carotide commune dont le traitement médical a échoué et qui a nécessité une intervention de nature endovasculaire. Nous entendons aussi présenter sur le plan clinique des cas d’occlusion complète de l’artère carotide mais aussi les examens diagnostic et les traitements s’y rapportant.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Endovascular Revascularization of a Symptomatic Common Carotid Artery Occlusion
      Available formats
      ×

      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Endovascular Revascularization of a Symptomatic Common Carotid Artery Occlusion
      Available formats
      ×

      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Endovascular Revascularization of a Symptomatic Common Carotid Artery Occlusion
      Available formats
      ×

Copyright

Corresponding author

Correspondence to: Julie Kromm, Division of Neurology, Department of Medicine, University of Alberta, 7-132 Clinical Science Building, Edmonton, Alberta T6G 2G3, Canada. Email: jkromm@ualberta.ca

References

Hide All
1. Klonaris, C, Kouvelos, GN, Kafeza, M, Koutsoumpelis, A, Katsargyris, A, Tsigris, C. Common carotid artery occlusion treatment: revealing a gap in the current guidelines. Eur J Vasc Endovasc Surg. 2013;46:291-298.
2. Takagi, T, Yoshimura, S, Yamada, K, Enomoto, Y, Iwama, T. Angioplasty and stenting of totally occluded common carotid artery at the chronic stage. Neurol. Med. Chir (Tokyo). 2010;50:998-1000.
3. Pritz, MB. Usefulness of catheter angiography in the evaluation of common carotid artery origin occlusion. J Stroke Cerebrovasc Dis. 2008;17:42-46.
4. Saba, L, Anzidei, M, Sanfilippo, R, et al. Imaging of the carotid artery. Atherosclerosis. 2013;220:294-309.
5. Grubb, RL, Derdeyn, CP, Fritsch, SM, et al. Importance of hemodynamic factors in the prognosis of symptomatic carotid occlusion. JAMA. 1998;280:1055-1060.
6. Liu, ZJ, Fu, WG, Guo, ZY, Shen, LG, Shi, ZY, Li, JH. Updated systematic review and meta-analysis of randomized clinical trials comparing carotid artery stenting and carotid endarterectomy in the treatment of carotid stenosis. Ann Vasc Surg. 2012;26:576-590.
7. Thomas, AJ, Gupta, R, Tayal, AH, Horowitz, MB, Jovin, TG. Stenting and angioplasty of the symptomatic chronically occluded carotid artery. AJNR Am J Neuroradiol. 2007;28:168-171.
8. Terada, T, Yamaga, H, Tsumoto, T, Masuo, O, Itakura, T. Use of an embolic protection system during endovascular recanalization of a totally occluded cervical internal carotid artery at the chronic stage. J Neurosurg. 2005;102:558-564.
9. Terada, T, Okada, H, Nanto, M, et al. Endovascular recanalization of the completely occluded internal carotid artery using a flow reversal system at the subacute to chronic stage. J Neurosurg. 2010;112:563-571.
10. Shojima, M, Nemoto, S, Morita, A, et al. Protected endovascular revascularization of subacute and chronic total occlusion of the internal carotid artery. AJNR Am J Neuroradiol. 2010;3:481-486.
11. Hauck, EF, Ogilvy, CS, Siddiqui, AH, Hopkins, LN, Levy, EI. Direct endovascular recanalization of chronic carotid occlusion: should we do it? Case report. Neurosurgery. 2010;67:E1152-59.
12. Pintér, L, Cagiannos, C, Bakoyiannis, CN, Kolvenbach, R. Hybrid treatment of common carotid artery occlusion with ring-stripper endarterectomy plus stenting. J Vasc Surg. 2007;46:135-139.

Keywords

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed