Therapeutic occlusion of an internal carotid artery with a high-grade stenosis using Guglielmi detachable coils

We present a patient with a symptomatic, high-grade stenosis of the internal carotid artery (ICA) and contraindication for open surgery. Endovascular treatment was attempted, but stent placement was not possible. In view of good collateral flow to the related hemisphere, embolization of the stenosis of the ICA with Guglielmi detachable coils (GDCs) was performed to occlude the vessel. No complications occurred during the procedure or in the 1-year follow-up period. In cases where open surgery or endovascular treatment of a stenosis of the ICA are contraindicated or not possible, therapeutic occlusion of the stenotic ICA could be an alternative treatment option in patients with good collateral flow.