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Open Access 01-09-2013 | Correspondence

Analysis of Reserve Capacity and Subsequent Stenting in a Case of Subacute Occlusion of the Internal Carotid Artery

Authors: K. Kallenberg, M.D., Dr. med. J. Rühlmann, Dr. J. Baudewig, Dr. med. J. Larsen, Dr. med. S. Gröschel, Dr. P. Dechent, PD, Prof. Dr. med. A. Kastrup, Prof. Dr. med. M. Knauth

Published in: Clinical Neuroradiology | Issue 3/2013

Abstract

Introduction

While acute internal carotid artery (ICA) occlusions are increasingly being treated with carotid angioplasty and stenting (CAS), the utility of CAS in subacute stages is unclear.

Case Report

A 65-year-old patient with an acute left ICA occlusion and pre-existing occlusion on the right side presented with dysarthria and central right-sided facial palsy. Carbon dioxide (CO₂) reactivity within the left hemisphere was markedly reduced. Due to acute deterioration despite maximal conservative therapy CAS was performed 8 days after the initial event with an excellent result and symptoms subsided.

Conclusion

CAS in subacute ICA occlusion is possible. Patients should be selected carefully. Assessment of cerebrovascular CO₂ reactivity might provide valuable information.

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Title: Analysis of Reserve Capacity and Subsequent Stenting in a Case of Subacute Occlusion of the Internal Carotid Artery
Authors: K. Kallenberg, M.D.
Dr. med. J. Rühlmann
Dr. J. Baudewig
Dr. med. J. Larsen
Dr. med. S. Gröschel
Dr. P. Dechent, PD
Prof. Dr. med. A. Kastrup
Prof. Dr. med. M. Knauth
Publication date: 01-09-2013
Publisher: Springer Berlin Heidelberg
Published in: Clinical Neuroradiology / Issue 3/2013
Print ISSN: 1869-1439
Electronic ISSN: 1869-1447
DOI: https://doi.org/10.1007/s00062-012-0172-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Analysis of Reserve Capacity and Subsequent Stenting in a Case of Subacute Occlusion of the Internal Carotid Artery

Abstract

Introduction

Case Report

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Case Report

Conclusion

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