Retrograde endovascular revascularization for chronic total occlusion of the internal carotid artery: a case report

Endovascular revascularization of a chronically occluded internal carotid artery (ICA) is challenging because the occlusive segment can be long and tortuous. A case is presented of a successful recanalization of a chronically occluded ICA by retrograde passing of a guidewire from the intracranial IC...

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Bibliographic Details
Published in:Acta neurochirurgica 2022-04, Vol.164 (4), p.1015-1019
Main Authors: Uno, Takeshi, Shojima, Masaaki, Oyama, Yuta, Yamane, Fumitaka, Matsuno, Akira
Format: Article
Language:English
Subjects:
Arterial Occlusive Diseases
Cardiovascular system
Carotid arteries
Carotid artery
Carotid Artery, Internal - diagnostic imaging
Carotid Artery, Internal - surgery
Case Report - Vascular Neurosurgery - Ischemia
Case reports
Catheterization
Cerebral blood flow
Endovascular Procedures
Humans
Interventional Radiology
Ischemia
Medicine
Medicine & Public Health
Minimally Invasive Surgery
Neurology
Neuroradiology
Neurosurgery
Surgical Orthopedics
Treatment Outcome
Vascular Neurosurgery - Ischemia
Vascular Surgical Procedures
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Summary:Endovascular revascularization of a chronically occluded internal carotid artery (ICA) is challenging because the occlusive segment can be long and tortuous. A case is presented of a successful recanalization of a chronically occluded ICA by retrograde passing of a guidewire from the intracranial ICA to the cervical ICA via the posterior communicating artery. This case suggests that a retrograde approach for reopening an occluded artery may be useful during neurovascular interventions, similar to percutaneous coronary interventions. In this patient, daily transient ischemic attacks disappeared after successful recanalization of the ICA.
ISSN:0942-0940
0001-6268
0942-0940
DOI:10.1007/s00701-021-04875-3