2020
DOI: 10.1136/neurintsurg-2019-015701
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Endovascular recanalization of chronically occluded internal carotid artery

Abstract: BackgroundIt is debated whether endovascular treatment is indicated for a symptomatic chronically occluded internal carotid artery (COICA).ObjectiveTo assess outcomes after endovascular treatment of COICA.MethodsWe performed a systematic search of three databases (PRISMA guidelines), including endovascular series of COICA. Outcomes were analyzed with random-effects models.ResultsWe included 13 studies and 528 endovascularly treated patients with COICA. Successful recanalization was 72.6% (347/528, 95% CI 65.4%… Show more

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Cited by 27 publications
(15 citation statements)
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“…Recently, endovascular revascularization was reported to have a 70% success rate, with a 13% complication rate and 5% morbidity (8)(9)(10). However, technical skills are required for complex occluded vessels, such as complicated routes, collapsed vessel walls, propagated thrombi, and vulnerable plaques.…”
Section: Introductionmentioning
confidence: 99%
“…Recently, endovascular revascularization was reported to have a 70% success rate, with a 13% complication rate and 5% morbidity (8)(9)(10). However, technical skills are required for complex occluded vessels, such as complicated routes, collapsed vessel walls, propagated thrombi, and vulnerable plaques.…”
Section: Introductionmentioning
confidence: 99%
“…Pure endovascular recanalization was recently described, and the results of several case series were reviewed in a meta-analysis which found an overall successful recanalization of 70% with procedural associated morbidity of 5%. These results translated into an 80% lower likelihood of recurrent cerebrovascular events than medical management 14…”
Section: Introductionmentioning
confidence: 98%
“…A meta-analysis (8) reported endovascular treatment of nonacute ICAO limited to the cervical internal carotid artery (ICA) is feasible, with a 70% rate of successful recanalization. There were a few case-series studies that have reported stenting appeared to be safe and efficient for nonacute intracranial artery occlusion, including intracranial ICATO (9)(10)(11).…”
Section: Introductionmentioning
confidence: 99%