Analysis of Reserve Capacity and Subsequent Stenting in a Case of Subacute Occlusion of the Internal Carotid Artery

INTRODUCTION: While acute internal carotid artery (ICA) occlusions are increasingly being treated with carotid angioplasty and stenting (CAS), the utility of CAS in subacute stages is unclear. CASE REPORT: A 65-year-old patient with an acute left ICA occlusion and pre-existing occlusion on the right...

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Detalles Bibliográficos
Autores principales: Kallenberg, K., Rühlmann, J., Baudewig, J., Larsen, J., Gröschel, S., Dechent, P., Kastrup, A., Knauth, M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2012
Materias:
Correspondence
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3739872/
https://www.ncbi.nlm.nih.gov/pubmed/22960936
http://dx.doi.org/10.1007/s00062-012-0172-z
Descripción
Sumario:INTRODUCTION: While acute internal carotid artery (ICA) occlusions are increasingly being treated with carotid angioplasty and stenting (CAS), the utility of CAS in subacute stages is unclear. CASE REPORT: A 65-year-old patient with an acute left ICA occlusion and pre-existing occlusion on the right side presented with dysarthria and central right-sided facial palsy. Carbon dioxide (CO(2)) reactivity within the left hemisphere was markedly reduced. Due to acute deterioration despite maximal conservative therapy CAS was performed 8 days after the initial event with an excellent result and symptoms subsided. CONCLUSION: CAS in subacute ICA occlusion is possible. Patients should be selected carefully. Assessment of cerebrovascular CO(2) reactivity might provide valuable information.

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