Kim Eui Jong, Koh Jun Seok, Choi Woo Suk
Department of Diagnostic Radiology, Kyung Hee University Medical Center, Dongdaemun-Gu, Seoul, Korea.
Korean J Radiol. 2006 Oct-Dec;7(4):292-6. doi: 10.3348/kjr.2006.7.4.292.
We report here on a rare case of carotid artery angioplasty and stenting in a patient with spontaneous recanalization after complete occlusion of the proximal internal carotid artery (ICA). The patient initially showed severe stenosis at the left proximal ICA on MR angiography (MRA). Digital subtraction angiography (DSA) performed three days after MRA showed complete occlusion of the proximal ICA. The follow-up DSA after four weeks showed recanalization of the ICA, and then carotid artery stenting was successfully performed. There has been no neurologic complication during more than one year follow-up.
我们在此报告一例罕见病例,该患者颈内动脉(ICA)近端完全闭塞后出现自发再通,随后接受了颈动脉血管成形术和支架置入术。患者最初在磁共振血管造影(MRA)上显示左侧ICA近端严重狭窄。MRA后三天进行的数字减影血管造影(DSA)显示ICA近端完全闭塞。四周后的随访DSA显示ICA再通,随后成功进行了颈动脉支架置入术。在超过一年的随访期间未出现神经并发症。