X-Ray-Guided Endovascular Treatment for Critical Stenosis of a Solitary Internal Carotid Artery: A Clinical Case

Abstract

In this work, the authors present a clinical case of a 65 year-old man with a history of three acute cerebrovascular accidents similar to a transient ischemic attack and/or ischemic stroke with a minor neurological deficit with short-term weakness in the left or right limbs and loss of coordination. Carotid angiography showed that the blood supply to the brain was provided by a single internal carotid artery on the left and a potent collateral network on the same side. The patient underwent stenting of the internal carotid artery on the left. As a result, blood supply was restored through the stented artery and pronounced collateralization on the right. This clinical case demonstrated that even in complex clinical situations associated with multifocal lesions of the carotid arteries, the use of x-ray endovascular technologies can achieve good clinical results, and x-ray-guided endovascular treatment of critical stenosis of the solitary internal carotid artery will allow achieving significant regression of neurological deficit and designating prognosis optima.

Eversion Carotid Endarterectomy in a Patient With Complete Blockage of the Carotid Arteries (Clinical Case)

“…The results of large multicenter studies (NASCET, ECST, ACAS) showed the advantage of carotid endarterectomy (CEA) in asymptomatic and symptomatic patients with a high (70-99%) degree of stenosis of the internal carotid artery (ICA) compared with conservative treatment [12,13]. Multifocal atherosclerosis simultaneously affecting the carotid arteries, coronary vessels, renal and peripheral arteries is observed in 30-65% of cases.…”