2017
DOI: 10.3892/br.2017.1033
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Abstract: At present, there is limited understanding of chronic total occlusion (CTO) of the internal carotid artery (ICA). Therefore, the present report collected related cases from PubMed and reviewed the literature. Cerebral vessels may form collateral circulation immediately or gradually following CTO of the ICA. The natural history of CTO of the ICA includes a variety of outcomes, all of which are biased toward a non-benign progressive process and are characterized by insufficient cerebral perfusion, embolus detach… Show more

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Cited by 20 publications
(23 citation statements)
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References 117 publications
(143 reference statements)
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“…Удлиненным считается отросток протяженностью >2.5 см. Такие отростки встречаются примерно у 4% людей из общей популяции и в 4% случаев, преимущественно у пациентов старше 30 лет, их присутствие сопровождается клинической симптоматикой [10]. При этом по данным Ayyildiz et al [11] средняя передняя длина отростка у пациентов с шилоподъязычным синдромом (синдромом Игла-Стерлинга) составляет 41.45 мм справа и 36.07 мм слева.…”
Section: Discussionunclassified
“…Удлиненным считается отросток протяженностью >2.5 см. Такие отростки встречаются примерно у 4% людей из общей популяции и в 4% случаев, преимущественно у пациентов старше 30 лет, их присутствие сопровождается клинической симптоматикой [10]. При этом по данным Ayyildiz et al [11] средняя передняя длина отростка у пациентов с шилоподъязычным синдромом (синдромом Игла-Стерлинга) составляет 41.45 мм справа и 36.07 мм слева.…”
Section: Discussionunclassified
“…Surgical approaches like endarterectomy and stenting can also be used in treating chronic occlusion, though they still show some seeming drawbacks. Like in acute occlusion, endarterectomy might fail in cases with complex clot organization, and the successful rate of recanalization only achieves 40% in patients with chronic occlusion ( Thompson et al, 1986 ; Xu et al, 2018 ). Hypoperfusion still occurs in patients who have failed to restore blood flow in recanalization therapies, which is presumed to result in the recurrence of ischemic events ( Grubb et al, 1998 ).…”
Section: Pathophysiology Of Ischemic-reperfusion Injury ( Figure 2 )mentioning
confidence: 99%
“…Hypoperfusion still occurs in patients who have failed to restore blood flow in recanalization therapies, which is presumed to result in the recurrence of ischemic events ( Grubb et al, 1998 ). Also, in the process of stenting, the clot may detach when the stent is released, blocking the intracranial artery and may therefore causing post-operative complications ( Xu et al, 2018 ).…”
Section: Pathophysiology Of Ischemic-reperfusion Injury ( Figure 2 )mentioning
confidence: 99%
“…Intracranial circle reacts to CO with different mechanisms including activation of cerebral collaterals and microvessels dilatation to compensate the reduction of perfusion pressure. 1,2 This altered cerebral hemodynamic status has been associated to an increased predisposition to stroke. 3,4 Inflammatory pathways seem to be relevant in the development and destabilization of atherosclerotic processes.…”
Section: Introductionmentioning
confidence: 99%
“…Chronic occlusion of common or internal carotid arteries (CO) is able to induce a re‐organization of cerebral hemodynamic status. Intracranial circle reacts to CO with different mechanisms including activation of cerebral collaterals and microvessels dilatation to compensate the reduction of perfusion pressure 1,2 . This altered cerebral hemodynamic status has been associated to an increased predisposition to stroke 3,4 …”
Section: Introductionmentioning
confidence: 99%