Top

CardioVascular and Interventional Radiology

Published in:

01-08-2006

Therapeutic Occlusion of an Internal Carotid Artery with a High-Grade Stenosis Using Guglielmi Detachable Coils

Authors: Elke A. M. Hauth, Robert Drescher, Michael Forsting, Horst J. Jaeger, Klaus D. Mathias

Published in: CardioVascular and Interventional Radiology | Issue 4/2006

Abstract

We present a patient with a symptomatic, high-grade stenosis of the internal carotid artery (ICA) and contraindication for open surgery. Endovascular treatment was attempted, but stent placement was not possible. In view of good collateral flow to the related hemisphere, embolization of the stenosis of the ICA with Guglielmi detachable coils (GDCs) was performed to occlude the vessel. No complications occurred during the procedure or in the 1-year follow-up period. In cases where open surgery or endovascular treatment of a stenosis of the ICA are contraindicated or not possible, therapeutic occlusion of the stenotic ICA could be an alternative treatment option in patients with good collateral flow.

North American Symptomatic Carotid Endarterectomy Trial Collaborators (1991) Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis. N Engl J Med 325:445–453CrossRef

European Carotid Surgery Trialists Collaborative Group (1998) Randomised trial of endarterectomy for recently symptomatic carotid stenosis: Final results of the MRC European Carotid Surgery Trial (ECST). Lancet 351:1379–1387CrossRef

Yadav JS, Roubin GS, Yyer S, et al (1997) Elective stenting of the extracranial carotid arteries. Circulation 95:376–381PubMed

Higashida RT, Halbach VV, Dowd C, et al (1990) Endovascular detachable balloon embolisation therapy of cavernous carotid artery aneurysms: Results in 87 cases. J Neurosurg 72:857–863PubMedCrossRef

Larson JJ, Tew JM, Tomsick TA, van Loveren HR (1995) Treatment of aneurysms of the internal carotid artery by intravascular balloon occlusion: Long-term follow-up of 58 patients. Neurosurgery 36:23–30

Barr JD, Lemley TJ (1999). Endovascular arterial occlusion accomplished with and without proximal flow arrest: Results in 19 patients. AJNR Am J Neuroradiol 20:1452–1456PubMed

Mathis JM, Barr JD, Jungreis CA, et al (1995) Temporary balloon test occlusion of the internal carotid artery: Experience in 500 cases. AJNR Am J Neuroradiol 16:749–754PubMed

Dovey Z, Misra M, Thornton J, Charbel FT, Debrun GM, Ausman JI (2001) Guglielmi detachable coiling for intracranial aneurysms: The story so far. Arch Neurol 58:559–564PubMedCrossRef

Bendszus M, Koltzenburg M, Burger R, Warmuth-Metz M, Hofmann E, Solymosi L (1999) Silent embolism in diagnostic cerebral angiography and neurointerventional procedures: A prospective study. Lancet 354:1594–1597PubMedCrossRef

10.

Rordorf G, Bellon RJ, Budzik RE Jr, et al (2001). Silent thromboembolic events associated with the treatment of unruptured cerebral aneurysms by use of Guglielmi detachable coils: Prospective study applying diffusion-weighted imaging. AJNR Am J Neuroradiol 22:5–10PubMed

Title: Therapeutic Occlusion of an Internal Carotid Artery with a High-Grade Stenosis Using Guglielmi Detachable Coils
Authors: Elke A. M. Hauth
Robert Drescher
Michael Forsting
Horst J. Jaeger
Klaus D. Mathias
Publication date: 01-08-2006
Publisher: Springer-Verlag
Published in: CardioVascular and Interventional Radiology / Issue 4/2006
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-005-0117-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Therapeutic Occlusion of an Internal Carotid Artery with a High-Grade Stenosis Using Guglielmi Detachable Coils

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 4/2006

Gradient Echo MRI Characterization of Development of Atherosclerosis in the Abdominal Aorta in Watanabe Heritable Hyperlipidemic Rabbits

Percutaneous Glue Embolization of a Visceral Artery Pseudoaneurysm in a Case of Sickle Cell Anemia

Percutaneous Vertebroplasty for Osteoporotic Compression Fracture: Multivariate Study of Predictors of New Vertebral Body Fracture

Usefulness of Guiding Needles for Radiofrequency Ablative Treatment of Liver Tumors

Complications and Follow-up after Unprotected Carotid Artery Stenting

Percutaneous Vertebroplasty in a Broken Vertebral Titanium Implant (Titanium Mesh Cage)