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Interventional recanalization as a treatment of carotid stump syndrome caused by right internal carotid artery occlusion: A case report

RATIONALE: Carotid stump syndrome is a cerebral infarction caused by an embolus formed subsequent to the vortex of blood flow from the occluded stump, which then moves through the collateral vessels into the brain. The covered stent and stent-assisted coil embolization stump are the effective interv...

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Detalles Bibliográficos
Autores principales: Xu, Ziqi, Wang, Jinhua, Luo, Benyan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6775342/
https://www.ncbi.nlm.nih.gov/pubmed/31574821
http://dx.doi.org/10.1097/MD.0000000000017152
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author Xu, Ziqi
Wang, Jinhua
Luo, Benyan
author_facet Xu, Ziqi
Wang, Jinhua
Luo, Benyan
author_sort Xu, Ziqi
collection PubMed
description RATIONALE: Carotid stump syndrome is a cerebral infarction caused by an embolus formed subsequent to the vortex of blood flow from the occluded stump, which then moves through the collateral vessels into the brain. The covered stent and stent-assisted coil embolization stump are the effective interventions for the carotid artery stump. PATIENT CONCERNS: A 71-year-old man twice experienced left limb weakness; diffusion weighted imaging confirmed the diagnosis of cerebral infarction. Cervical computed tomography angiography, intracranial magnetic resonance angiography, and digital subtraction angiography were conducted to evaluate collateral circulation, intraluminal composition, and shape of the carotid stump. DIAGNOSES: The patient was diagnosed with cerebral infarction and right carotid stump syndrome. INTERVENTION: The patient underwent interventional recanalization of the occluded internal carotid artery, which relieved his symptoms and led to satisfactory therapeutic outcomes during the clinical follow-up. OUTCOMES: A 9-month clinical follow-up revealed no stroke recurrence. LESSONS: Interventional recanalization for the carotid artery stump syndrome is feasible. Accurate preoperative evaluation including collateral circulation, intraluminal composition, and shape of the carotid stump can assure a successful vascularization and guided management.
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spelling pubmed-67753422019-10-07 Interventional recanalization as a treatment of carotid stump syndrome caused by right internal carotid artery occlusion: A case report Xu, Ziqi Wang, Jinhua Luo, Benyan Medicine (Baltimore) 5300 RATIONALE: Carotid stump syndrome is a cerebral infarction caused by an embolus formed subsequent to the vortex of blood flow from the occluded stump, which then moves through the collateral vessels into the brain. The covered stent and stent-assisted coil embolization stump are the effective interventions for the carotid artery stump. PATIENT CONCERNS: A 71-year-old man twice experienced left limb weakness; diffusion weighted imaging confirmed the diagnosis of cerebral infarction. Cervical computed tomography angiography, intracranial magnetic resonance angiography, and digital subtraction angiography were conducted to evaluate collateral circulation, intraluminal composition, and shape of the carotid stump. DIAGNOSES: The patient was diagnosed with cerebral infarction and right carotid stump syndrome. INTERVENTION: The patient underwent interventional recanalization of the occluded internal carotid artery, which relieved his symptoms and led to satisfactory therapeutic outcomes during the clinical follow-up. OUTCOMES: A 9-month clinical follow-up revealed no stroke recurrence. LESSONS: Interventional recanalization for the carotid artery stump syndrome is feasible. Accurate preoperative evaluation including collateral circulation, intraluminal composition, and shape of the carotid stump can assure a successful vascularization and guided management. Wolters Kluwer Health 2019-09-27 /pmc/articles/PMC6775342/ /pubmed/31574821 http://dx.doi.org/10.1097/MD.0000000000017152 Text en Copyright © 2019 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0
spellingShingle 5300
Xu, Ziqi
Wang, Jinhua
Luo, Benyan
Interventional recanalization as a treatment of carotid stump syndrome caused by right internal carotid artery occlusion: A case report
title Interventional recanalization as a treatment of carotid stump syndrome caused by right internal carotid artery occlusion: A case report
title_full Interventional recanalization as a treatment of carotid stump syndrome caused by right internal carotid artery occlusion: A case report
title_fullStr Interventional recanalization as a treatment of carotid stump syndrome caused by right internal carotid artery occlusion: A case report
title_full_unstemmed Interventional recanalization as a treatment of carotid stump syndrome caused by right internal carotid artery occlusion: A case report
title_short Interventional recanalization as a treatment of carotid stump syndrome caused by right internal carotid artery occlusion: A case report
title_sort interventional recanalization as a treatment of carotid stump syndrome caused by right internal carotid artery occlusion: a case report
topic 5300
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6775342/
https://www.ncbi.nlm.nih.gov/pubmed/31574821
http://dx.doi.org/10.1097/MD.0000000000017152
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