Case of slow stroke from carotid artery occlusion treated by delayed but cautious endovascular intervention

Kachi Illoh, Emilio Supsupin, Hashem M. Shaltoni, Edwin D. Cacayorin

Research output: Contribution to journalArticle

Abstract

In a challenging case of carotid occlusion with slowly evolving stroke, we used brain imaging to facilitate endovascular revascularization resulting in the relief of the patient's symptoms. Patients with carotid occlusion and continued neurological worsening or fluctuations present enormous treatment challenges. These patients may present slow strokes with subacute infarcts that present significant challenges and risks during attempts at revascularization of the occluded artery. We present such a case in which we used multimodal imaging techniques, including MR-perfusion, to facilitate endovascular revascularization. Our approach of delayed but cautious intra-arterial thrombolytic therapy, guided by brain imaging, and followed by stent placement across the residual stenosis, enabled revascularization of the occluded artery without overt in-hospital complications.

Original languageEnglish (US)
Article number974357
JournalStroke Research and Treatment
DOIs
StatePublished - 2011
Externally publishedYes

ASJC Scopus subject areas

  • Clinical Neurology

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