Morphological Change of Early Spontaneous Recanalization Following Internal Carotid Artery Occlusion due to Possible Dissection

Zhou, Zhi; Qian, Dehui; Liu, Lei; Tang, Wen-Xiong; Jia, Shaowei; Liu, Zunjing

doi:10.4103/0366-6999.193440

Cited by 2 publications

(1 citation statement)

References 3 publications

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“…Furthermore, spontaneous recanalization (SR) may occur in patients with ICA occlusion, which may be further categorized as early or late SR, based on the cut-off duration of the mean hospitalization of these patients (usually two weeks). The results of previously published studies have indicated that early SR of an occluded ICA may occur within 1-2 h to two weeks after occlusion (1)(2)(3)(4), and early SR of the ICA appears to be common in patients with extracranial ICA occlusion caused by arterial dissection (57-68% of the evaluated cohorts) (3,(5)(6)(7)(8). However, the incidence of late SR of an occluded ICA has been reported to be markedly lower, with 2.0 and 3.8%, respectively (9,10).…”

Section: Introductionmentioning

confidence: 99%

Prognosis of patients with late spontaneous recanalization of the atherosclerotic occlusion of internal carotid arteries: A pilot case series

Liu

et al. 2018

Exp Ther Med

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Late spontaneous recanalization (SR) of an occluded internal carotid artery (ICA) has been rarely reported and the prognosis of affected patients remains elusive. In the present study, the incidence of late SR of atherosclerotic occlusion of the ICA and associated outcomes were assessed in a single center. A total of 36 patients with ICA occlusion, who underwent carotid artery stenting or vertebral artery stenting in arteries other than the occluded ICA, were prospectively included and followed up for ≥18 months. SR was diagnosed by color Doppler ultrasound imaging. The incidence of late SR, the functional outcome and the incidence of adverse cardiovascular events in these patients were evaluated. During the follow-up, three patients had late SR of the occluded ICA (8.3%). All patients had vascular events prior to the confirmation of late SR of the ICA. Subsequent to SR, the patients were clinically stable with preserved functional ability, based on the Modified Rankin Scale. Of these patients, one suffered from re-occlusion of the recanalized ICA without presenting with any novel significant symptoms. In conclusion, patients with late SR of the ICA appear to have preserved functional ability and favorable clinical outcomes. Large-scale cohorts are required to determine the clinical characteristics that contribute to the incidence of late SR of the ICA.

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Section: Introductionmentioning

confidence: 99%

Prognosis of patients with late spontaneous recanalization of the atherosclerotic occlusion of internal carotid arteries: A pilot case series

Liu

et al. 2018

Exp Ther Med

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The Significance of the Angle between Superior Mesenteric Artery and Aorta in Spontaneous Isolated Superior Mesenteric Artery Dissection

et al. 2017

Annals of Vascular Surgery

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Morphological Change of Early Spontaneous Recanalization Following Internal Carotid Artery Occlusion due to Possible Dissection

Cited by 2 publications

References 3 publications

Prognosis of patients with late spontaneous recanalization of the atherosclerotic occlusion of internal carotid arteries: A pilot case series

Prognosis of patients with late spontaneous recanalization of the atherosclerotic occlusion of internal carotid arteries: A pilot case series

The Significance of the Angle between Superior Mesenteric Artery and Aorta in Spontaneous Isolated Superior Mesenteric Artery Dissection

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