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Titolo:
ANGIOPLASTY OF THE OCCLUDED INTERNAL CAROTID-ARTERY
Autore:
SPEARMAN MP; JUNGREIS CA; WECHSLER LR;
Indirizzi:
UNIV PITTSBURGH,MED CTR,DEPT RADIOL,200 LOTHOP ST PITTSBURGH PA 15213 UNIV PITTSBURGH,MED CTR,DEPT RADIOL & NEUROL SURG PITTSBURGH PA 15213 UNIV PITTSBURGH,MED CTR,DEPT NEUROL PITTSBURGH PA 15213
Titolo Testata:
American journal of neuroradiology
fascicolo: 9, volume: 16, anno: 1995,
pagine: 1791 - 1796
SICI:
0195-6108(1995)16:9<1791:AOTOIC>2.0.ZU;2-2
Fonte:
ISI
Lingua:
ENG
Soggetto:
LOCAL INTRAARTERIAL THROMBOLYSIS; ACUTE STROKE; INTRACAROTID UROKINASE; CEREBRAL-ISCHEMIA; OCCLUSIVE DISEASE; BYPASS GRAFTS; THERAPY; ENDARTERECTOMY; THRESHOLDS; INFARCTION;
Keywords:
ARTERIES, CAROTID, INTERNAL; ARTERIES, TRANSLUMINAL ANGIOPLASTY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
27
Recensione:
Indirizzi per estratti:
Citazione:
M.P. Spearman et al., "ANGIOPLASTY OF THE OCCLUDED INTERNAL CAROTID-ARTERY", American journal of neuroradiology, 16(9), 1995, pp. 1791-1796

Abstract

PURPOSE: To review patients who have presented with acute strokes from a middle cerebral artery occlusion in whom in addition to the middlecerebral artery thromboembolus, an internal carotid artery occlusion has been present, and in whom angioplasty of these totally occluded internal carotid arteries has been successful. METHODS: We reviewed retrospectively our experience in treating acute stroke patients with intracranial, intraarterial urokinase. Six of 27 patients had internal carotid artery occlusions in addition to middle cerebral artery occlusions. Two patients presented with spontaneous carotid dissections for which no further intervention from the ipsilateral internal carotid artery was attempted. in the remaining four internal carotid artery occlusions secondary to atherosclerotic disease, standard guide wires and catheters were negotiated across the level of the internal carotid arteryocclusion, which expedited intracranial catheterization for thrombolysis. Subsequently, angioplasty of the internal carotid artery was performed. RESULTS: All four occluded internal carotid arteries could be traversed. No new neurologic deficits occurred. No vascular injuries occurred. No deaths occurred. Four- to 6-month follow-up showed all fourinternal carotid arteries remained patent, CONCLUSION: In acute occlusions of the internal carotid artery from atherosclerosis, the occluded vessel can sometimes be recanalized with low morbidity. In addition,endovascular access to the intracranial circulation can be expedited by using the recanalized internal carotid artery.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/11/20 alle ore 09:03:52