Hybrid operation to revascularize long-segment occluded internal carotid artery prevent further ischemic events

Purpose The effects and complications of hybrid procedure (combined carotid endarterectomy and carotid stenting) to revascularize chronic long-segment occlusion of internal carotid artery (ICA) are currently unknown and the purpose of this study. Methods Sixty-five patients with long-segment occlusi...

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Bibliographic Details
Published in:Neuroradiology 2019-02, Vol.61 (2), p.217-224
Main Authors: Zhang, Kun, Gao, Bu-Lang, Zhao, Tong-Yuan, Li, Tian-Xiao, Xue, Jiang-Yu, He, Ying-Kun, Cai, Dong-Yang, Yang, Bo-Wen
Format: Article
Language:English
Subjects:
Angiography
Carotid arteries
Carotid artery
Cerebral blood flow
Cerebral infarction
Complications
Data processing
Drugs
Hemorrhage
Imaging
Infarction
Interventional Neuroradiology
Ischemia
Medicine
Medicine & Public Health
Neurological diseases
Neurology
Neuroradiology
Neurosciences
Neurosurgery
Occlusion
Patients
Radiology
Stents
Thrombolysis
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Summary:Purpose The effects and complications of hybrid procedure (combined carotid endarterectomy and carotid stenting) to revascularize chronic long-segment occlusion of internal carotid artery (ICA) are currently unknown and the purpose of this study. Methods Sixty-five patients with long-segment occlusion of ICA were prospectively enrolled and divided into two groups of revascularization with hybrid operation ( n  = 30) and medication group ( n  = 35), and clinical and angiographic data were analyzed. Results The duration from symptom onset to revascularization ranged 17–120 days (mean 40.5 ± 5.0) in the hybrid operation, with a success revascularization rate of 100%. All patients had thrombi extracted with the clot length ranging 5–8 cm (mean 6.3 ± 0.9). The thrombolysis in cerebral infarction grade (TICI) was significantly ( P  
ISSN:0028-3940
1432-1920
DOI:10.1007/s00234-018-2145-7