Republished: Endovascular recanalization of the common carotid artery in a patient with radio induced chronic occlusion

Nico, Lorena; Cester, Giacomo; Viaro, Federica; Baracchini, Claudio; Causin, Francesco

doi:10.1136/neurintsurg-2016-012722.rep

Cited by 8 publications

(3 citation statements)

References 2 publications

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“…In addition, radiotherapy may also cause chronic occlusion of the carotid artery. Nico et al ( 37 ) reported a patient who developed chronic carotid artery occlusion following a history of neck irradiation for an oropharyngeal undifferentiated carcinoma.…”

Section: Pathogenesismentioning

confidence: 99%

“…These complications primarily arise from the carotid artery with recanalization, whereby detachment of the thrombus may result in symptomatic and asymptomatic embolic events ( 37 ). There is a high risk of distal migration of the thrombus upon catheterization through the thrombus and stenting; consequently, a protective device is sometimes required ( 116 ).…”

Section: Complications Of Treatmentmentioning

confidence: 99%

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Current understanding of chronic total occlusion of the internal carotid artery (Review)

Guo

et al. 2017

biom rep

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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 detachment and cognitive dysfunction. The majority of cases of CTO of the ICA require treatment. In early studies, the results of external-ICA bypass were unsatisfactory, while recanalization is now considered the only viable option. The current treatment indications mainly depend on the degree of injury to the cerebrovascular reserve and the extent to which the oxygen extraction fraction is increased. The length, height and duration of ICA occlusion are also relevant, though more frequently, the condition depends on multiple factors. Endovascular interventional recanalization, carotid endarterectomy (CEA) and hybrid surgery may be conducted in a select group of patients. As novel materials are developed, the success rate of simple recanalization may gradually increase; however, hybrid surgery may be more representative of the current trend, as advanced CEA can remove carotid atherosclerosis plaques, thus reducing the technological demands of the subsequent interventional recanalization. There are many complications that may result from recanalization following CTO of the ICA, including hyperperfusion and technical errors; therefore, the operation must be conducted carefully. If the recanalization is successful, it typically results in a stable improvement of patient condition in the long term. However, despite these conclusions, more studies are required in the future to further improve current understanding of CTO of the ICA.

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Section: Pathogenesismentioning

confidence: 99%

Section: Complications Of Treatmentmentioning

confidence: 99%

Current understanding of chronic total occlusion of the internal carotid artery (Review)

Guo

et al. 2017

biom rep

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“…Previous studies revealed that CICAO is usually a result of complex hemodynamics, such as low shear stress, blood flow stasis, and blood flow separation ( 8 , 9 ). In addition, radiation therapy may cause chronic occlusion of the carotid artery ( 10 ). Of note, occlusion caused by carotid dissection mainly occurs in young individuals, and the pathogenic site is often at the entrance of hard vessels ( 11 ).…”

Section: Introductionmentioning

confidence: 99%

Spotlight on clinical strategies of Chronic Internal Carotid Artery Occlusion: Endovascular interventions and external-intracarotid bypasses compared to conservative treatment

Fang²,

Wei³

et al. 2022

Front. Surg.

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Chronic internal carotid artery occlusion (CICAO) has high prevalence and incidence rates, and patients with CICAO can be completely asymptomatic, experience a devastating stroke or die. It is important to note that CICAO causes cerebrovascular accidents. Currently, the external carotid-internal carotid (EC-IC) bypass technique is used to treat CICAO. However, many clinical studies showed that EC-IC bypass was not beneficial for many patients with CICAO. Meanwhile, endovascular intervention treatment options for CICAO are evolving, and an increasing number of patients are undergoing endovascular intervention therapy. Accordingly, a review comparing both techniques is warranted. For this review, we searched PubMed and collected relevant case study reports comparing endovascular interventional therapy and internal and external cervical bypass surgeries to provide strategies for clinical treatment.

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Radiation-Induced Stenosis

Abecassis

Young

Sen

et al. 2020

Carotid Artery Disease

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Republished: Endovascular recanalization of the common carotid artery in a patient with radio induced chronic occlusion

Cited by 8 publications

References 2 publications

Current understanding of chronic total occlusion of the internal carotid artery (Review)

Current understanding of chronic total occlusion of the internal carotid artery (Review)

Spotlight on clinical strategies of Chronic Internal Carotid Artery Occlusion: Endovascular interventions and external-intracarotid bypasses compared to conservative treatment

Radiation-Induced Stenosis

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