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Intracranial Angioplasty and Stenting Through Direct Carotid Puncture.
MedLine Citation:
PMID:  22082129     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND AND PURPOSE: To describe a case of successful intracranial angioplasty and stenting of a symptomatic middle cerebral artery (MCA) stenosis using a transcervical approach. METHODS: A 73-year-old woman presented with several ischemic strokes in the left MCA distribution. A diagnostic cerebral angiogram demonstrated more than 80% stenosis of her left MCA. Because the patient failed maximal medical therapy, it was decided to perform angioplasty and stenting. Given the patient's tortuous arch and rigid vessels, access was obtained through a transcutaneous puncture with direct visualization of the surgically exposed common carotid artery (CCA). RESULTS: The patient tolerated well the procedure and after successful stenting her symptoms resolved. CONCLUSION: Access of the intracranial circulation through direct CCA puncture may be a feasible alternative when the transfemoral access is not possible. The transcervical approach may be safe even with the use of antiplatelet medications and anticoagulation. J Neuroimaging 2011;XX:1-4.
Authors:
Edgar A Samaniego; Guilherme Dabus; Roman Raju; Athanassious I Tsoukas; Italo Linfante
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-11-14
Journal Detail:
Title:  Journal of neuroimaging : official journal of the American Society of Neuroimaging     Volume:  -     ISSN:  1552-6569     ISO Abbreviation:  -     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2011-11-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9102705     Medline TA:  J Neuroimaging     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2011 by the American Society of Neuroimaging.
Affiliation:
From the Department of Interventional Neuroradiology, Baptist Cardiac and Vascular Institute, Miami, Florida (EAS, GD, IL); Department of Radiology, SUNY Downstate, New York, New York (RR); and Department of Vascular Surgery, Miami Vascular Specialists, Miami, Florida (AIT).
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