Case of “Slow” Stroke from Carotid Artery Occlusion Treated by Delayed but Cautious Endovascular Intervention
In a challenging case of carotid occlusion with slowly evolving stroke, we used brain imaging to facilitate endovascular revascularization resulting in the relief of the patient's symptoms. Patients with carotid occlusion and continued neurological worsening or fluctuations present enormous tr...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Stroke Research and Treatment |
| Online Access: | http://dx.doi.org/10.4061/2011/974357 |
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| author | Kachi Illoh Emilio Supsupin Hashem M. Shaltoni Edwin D. Cacayorin |
| author_facet | Kachi Illoh Emilio Supsupin Hashem M. Shaltoni Edwin D. Cacayorin |
| author_sort | Kachi Illoh |
| collection | DOAJ |
| description | In a challenging case of carotid occlusion with slowly evolving stroke, we used brain imaging to facilitate endovascular revascularization resulting in the relief of the patient's symptoms. Patients with carotid occlusion and continued neurological worsening or fluctuations present enormous treatment challenges. These patients may present “slow” strokes with subacute infarcts that present significant challenges and risks during attempts at revascularization of the occluded artery. We present such a case in which we used multimodal imaging techniques, including MR-perfusion, to facilitate endovascular revascularization. Our approach of delayed but cautious intra-arterial thrombolytic therapy, guided by brain imaging, and followed by stent placement across the residual stenosis, enabled revascularization of the occluded artery without overt in-hospital complications. |
| format | Article |
| id | doaj-art-7b3a7d5e7f254dc9857ed2eca1a01c66 |
| institution | OA Journals |
| issn | 2042-0056 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Stroke Research and Treatment |
| spelling | doaj-art-7b3a7d5e7f254dc9857ed2eca1a01c662025-08-20T02:07:02ZengWileyStroke Research and Treatment2042-00562011-01-01201110.4061/2011/974357974357Case of “Slow” Stroke from Carotid Artery Occlusion Treated by Delayed but Cautious Endovascular InterventionKachi Illoh0Emilio Supsupin1Hashem M. Shaltoni2Edwin D. Cacayorin3Division of Neurology Products, Center for Drug Evaluation and Research, U. S. Food and Drug Administration, Building 22, Room 5402, 10903 New Hampshire Avenue, Silver Spring, MD 20993, USADepartment of Diagnostic and Interventional Imaging, The University of Texas Medical School at Houston, 6431 Fannin Street, MSB 2.130B, Houston, TX 77030, USADepartment of Radiology, Baylor College of Medicine, One Baylor Plaza, Mail Stop BCM360, Houston, TX 77030, USADepartment of Diagnostic and Interventional Imaging, The University of Texas Medical School at Houston, 6431 Fannin Street, MSB 2.130B, Houston, TX 77030, USAIn a challenging case of carotid occlusion with slowly evolving stroke, we used brain imaging to facilitate endovascular revascularization resulting in the relief of the patient's symptoms. Patients with carotid occlusion and continued neurological worsening or fluctuations present enormous treatment challenges. These patients may present “slow” strokes with subacute infarcts that present significant challenges and risks during attempts at revascularization of the occluded artery. We present such a case in which we used multimodal imaging techniques, including MR-perfusion, to facilitate endovascular revascularization. Our approach of delayed but cautious intra-arterial thrombolytic therapy, guided by brain imaging, and followed by stent placement across the residual stenosis, enabled revascularization of the occluded artery without overt in-hospital complications.http://dx.doi.org/10.4061/2011/974357 |
| spellingShingle | Kachi Illoh Emilio Supsupin Hashem M. Shaltoni Edwin D. Cacayorin Case of “Slow” Stroke from Carotid Artery Occlusion Treated by Delayed but Cautious Endovascular Intervention Stroke Research and Treatment |
| title | Case of “Slow” Stroke from Carotid Artery Occlusion Treated by Delayed but Cautious Endovascular Intervention |
| title_full | Case of “Slow” Stroke from Carotid Artery Occlusion Treated by Delayed but Cautious Endovascular Intervention |
| title_fullStr | Case of “Slow” Stroke from Carotid Artery Occlusion Treated by Delayed but Cautious Endovascular Intervention |
| title_full_unstemmed | Case of “Slow” Stroke from Carotid Artery Occlusion Treated by Delayed but Cautious Endovascular Intervention |
| title_short | Case of “Slow” Stroke from Carotid Artery Occlusion Treated by Delayed but Cautious Endovascular Intervention |
| title_sort | case of slow stroke from carotid artery occlusion treated by delayed but cautious endovascular intervention |
| url | http://dx.doi.org/10.4061/2011/974357 |
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