Endovascular recanalization of the common carotid artery in a patient with radio induced chronic occlusion. (1st November 2016)

• Record Type: Journal Article
• Authors: Nico, Lorena; Cester, Giacomo; Viaro, Federica; Baracchini, Claudio; Causin, Francesco
• Is Part Of: BMJ case reports. Volume 2016
• Publication Date: 2016-11-01
• Subjects: Intervention -- Balloon -- Technique -- Stent -- Stenosis; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2016-012722
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : Recanalization of chronic occlusion of the common carotid artery (CCA) in patients with a history of neck irradiation is challenging, both for vascular surgeons and interventional neuroradiologists. We describe a case of successful stenting of radio induced chronic occlusion of the right CCA in a 41-year-old patient with neurological deterioration and minor stroke due to cerebral hypoperfusion caused by concomitant bilateral arterial occlusions. Direct surgery and surgical bypass were considered contraindicated. The endovascular approach was successful and required multiple precautions during the procedure. We describe particular solutions, not used in day to day practice, that allowed us to carry out the endovascular treatment in this unusual situation.