Document Detail

Hybrid Surgery for Symptomatic Chronic Total Occlusion of Carotid Artery: A Technical Note.
MedLine Citation:
PMID:  23190641     Owner:  NLM     Status:  Publisher    
BACKGROUND AND IMPORTANCE:: Although medical treatment has been considered a dogma for chronic total occlusion (CTO) of the carotid artery, use of endovascular recanalization has also been reported. However, there are some difficulties in performing endovascular recanalization. We present the novel technical details and advantages of hybrid surgery for recanalization of symptomatic CTO of the internal carotid artery (ICA). CLINICAL PRESENTATION:: Three cases with recurrent ischemic attacks due to thrombotic occlusion of the right ICA above bifurcation were successfully treated by this hybrid surgery, combining endarterectomy of the proximal ICA with endovascular angioplasty of the distal ICA. Using this hybrid technique, complete recanalization was achieved in all 3 cases. The follow-up computerized tomographic angiograms (CTA) with perfusion imaging showed improved brain perfusion. At 6-month follow-up, ischemic symptoms had not recurred. CONCLUSION:: We consider this hybrid surgery to be a feasible and good alternative surgical procedure for treatment of cases with CTO of the internal carotid artery.
Yu-Tung Shih; Wen-Hsien Chen; Wen-Lieng Lee; Hsu-Tung Lee; Chiung-Chyi Shen; Yuang-Seng Tsuei
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-11-27
Journal Detail:
Title:  Neurosurgery     Volume:  -     ISSN:  1524-4040     ISO Abbreviation:  Neurosurgery     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-11-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
1 Department of Neurosurgery, Taichung Veterans General Hospital, Taichung, Taiwan. 2 Department of Radiology, Taichung Veterans General Hospital, Taichung, Taiwan. 3 Department of Cardiovascular Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
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