| Percutaneous angioplasty of a chronic total occlusion of the intracranial internal carotid artery. Case report. | |
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MedLine Citation:
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PMID: 17084200 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: A CTO of the intracranial ICA is usually managed medically and rarely by EC-IC bypass in selected patients. Percutaneous transluminal angioplasty has not been used. CASE DESCRIPTION: A 73-year-old man presented with frequent temporary blindness of the left eye and dizziness due to thrombotic occlusion of the left intracranial ICA, causing hemodynamic compromise. This patient was successfully treated by percutaneous angioplasty (balloon angioplasty and stent placement) under proximal balloon protection at 7 weeks from the ictus. Ischemic symptoms had not recurred during the 6-month follow-up period. CONCLUSION: Percutaneous angioplasty for a CTO of the intracranial ICA is technically feasible and can be an alternative to EC-IC bypass in a selected group of patients with symptomatic hemodynamic compromise, which is refractory to the best medical treatment. |
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Authors:
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Masaki Komiyama; Masaki Yoshimura; Yuji Honnda; Yasuhiro Matsusaka; Toshihiro Yasui |
Publication Detail:
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Type: Case Reports; Journal Article Date: 2006-07-21 |
Journal Detail:
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Title: Surgical neurology Volume: 66 ISSN: 0090-3019 ISO Abbreviation: Surg Neurol Publication Date: 2006 Nov |
Date Detail:
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Created Date: 2006-11-06 Completed Date: 2006-12-26 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0367070 Medline TA: Surg Neurol Country: United States |
Other Details:
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Languages: eng Pagination: 513-8; discussion 518 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, Osaka City General Hospital, Osaka 534-0021, Japan. komiyama@japan-mail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Angioplasty, Balloon / instrumentation, methods*, trends Blindness / etiology, physiopathology Carotid Artery, Internal / pathology, radiography, surgery* Carotid Stenosis / pathology, radiography, surgery* Cerebral Angiography Cerebral Revascularization / standards Cerebrovascular Circulation / physiology Chronic Disease Dizziness / etiology, physiopathology Humans Male Risk Assessment Stents / standards, statistics & numerical data, trends* Tomography, X-Ray Computed Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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