Document Detail

External carotid artery angioplasty and stenting followed by superficial temporal artery to middle cerebral artery anastomosis.
MedLine Citation:
PMID:  20041061     Owner:  NLM     Status:  PubMed-not-MEDLINE    
A 31-year-old man presented with right hemiparesis, and magnetic resonance imaging revealed a small infarct at left basal ganglia. Digital subtraction angiography showed left cervical internal carotid artery (ICA) occlusion and severe stenosis of the ipsilateral external carotid artery (ECA) with collateral cerebral circulation fed by ECAs. Based on the results of a functional evaluation of cerebral blood flow, we performed preventive ECA angioplasty and stenting for advanced ECA stenosis to ensure sufficient blood flow to the superficial temporal artery. Eight weeks later, superficial temporal artery to middle cerebral artery (STA-MCA) anastomosis was performed. His postoperative course was uneventful and no additional transient ischemic attacks have occurred. To our knowledge, this is the first report of preventive angioplasty and stenting for advanced narrowing of an ECA before STA-MCA anastomosis for ipsilateral ICA occlusion.
Jun Kyeung Ko; Sang Weon Lee; Tae Hong Lee; Chang Hwa Choi
Publication Detail:
Type:  Journal Article     Date:  2009-11-30
Journal Detail:
Title:  Journal of Korean Neurosurgical Society     Volume:  46     ISSN:  1598-7876     ISO Abbreviation:  J Korean Neurosurg Soc     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-12-30     Completed Date:  2011-07-14     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  101467054     Medline TA:  J Korean Neurosurg Soc     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  488-91     Citation Subset:  -    
Department of Neurosurgery, School of Medicine, Pusan National University, Busan, Korea.
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