Stent Protected Angioplasty of the Internal Carotid Artery as an Emergency in Acute Stroke
| Autor: | Holger Alex, Claudia Disqué, Georg Gahn, Rüdiger von Kummer |
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| Rok vydání: | 2004 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry medicine.medical_treatment Stent Digital subtraction angiography medicine.disease Stenosis medicine.artery Angioplasty Internal medicine Angiography cardiovascular system medicine Cardiology Radiology Nuclear Medicine and imaging cardiovascular diseases Neurology (clinical) Radiology Internal carotid artery business Stroke Neuroradiology |
| Zdroj: | Klinische Neuroradiologie. 14:134-137 |
| ISSN: | 1615-6706 0939-7116 |
| DOI: | 10.1007/s00062-004-5383-5 |
| Popis: | We report on a 74-year-old man with bilateral internal carotid artery (ICA) disease who suffered a stroke with hemianopia, global aphasia, and right hemiparesis while asleep. Because of the absence of ischemic edema on initial cranial computed tomography (CT) despite a tight stenosis of the proximal left ICA on CT angiogram, we considered angiography and intervention. The digital subtraction angiography (DSA) confirmed a long and tight stenosis of the left proximal ICA containing a thrombus at its distal outflow (Figure 2). Because of further progression of symptoms, we recanalized the left ICA by deployment of a stent and subsequent angioplasty under the protection of abciximab and heparin. The patient improved from an NIH stroke score (NIHSS) of 12 at the time of admission to an NIHSS of 2 within 3 days. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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