Pseudo-occlusion of internal carotid artery and revascularization

被引:0
|
作者
Wassmann, H [1 ]
Greiner, C [1 ]
Fischer, B [1 ]
Palkovic, S [1 ]
机构
[1] Univ Munster, Dept Neurosurg, Munster, Germany
关键词
ENDARTERECTOMY; STENOSIS; SURGERY; STROKE; TRIAL; RISK;
D O I
暂无
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
781 patients with symptomatic ICA stenosis were treated surgically. In 53 patients repeated angiography (DSA) revealed anterograde "string-like" filling of ICA beyond the carotid bifurcation or retrograde filling of the proximal, "occluded" extracranial ICA. In 40 of these patients (75.5%) a successful revascularization of ICA was possible, while in another 13 patients (24.5%) it failed. After a 4 years (mean) follow-up, 95% of the reopened ICA remained patent. Precise selective DSA should be enforced in signs of ICA occlusion to detect so-called ICA pseudo-occlusion, which has a chance for successful reopening of ICA.
引用
收藏
页码:323 / 328
页数:6
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