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Carotid stenting in acute ischemic stroke patients with intraluminal thrombus

 Tai Hyung Kwon  ;  Byung Moon Kim  ;  Dong Joon Kim  ;  Dong Ik Kim  ;  Ji Hoe Heo  ;  Young Dae Kim  ;  Hyo Suk Nam 
 Neuroradiology, Vol.53(10) : 773-778, 2011 
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INTRODUCTION: Carotid stenosis with intraluminal thrombus is associated with a high risk of early recurrent stroke. We evaluated the feasibility and outcome of carotid stenting in acute ischemic stroke patients with carotid stenosis and intraluminal thrombus. METHODS: Among 295 consecutive acute ischemic stroke patients who were referred for intra-arterial thrombolytic (IAT) therapy, six patients with carotid stenosis and intraluminal thrombus were treated by stent assisted angioplasty. The clinical characteristics, feasibility, and clinical outcomes were assessed. RESULTS: All patients had severe stenosis of the underlying carotid bulb (mean, 86.8%; range, 71-99%) with adjacent intraluminal thrombus. Stent assisted angioplasty resulted in successful recanalization in all six patients. Thrombus was captured with the filter device in four patients. Three patients with tandem occlusion of the ipsilateral proximal middle cerebral artery were successfully recanalized with intra-arterial urokinase. No patients suffered procedure related complications or symptomatic hemorrhage. Four patients showed good long-term outcome (3 month mRS; 0-2). CONCLUSIONS: Stent assisted angioplasty is a feasible treatment option for acute ischemic stroke patients caused by carotid stenosis with intraluminal thrombus and may be effective in preventing early recurrent stroke.
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실)
Yonsei Authors
권태형(Kwon, Tae Hyung) ; 김동익(Kim, Dong Ik) ; 김동준(Kim, Dong Joon) ; 김병문(Kim, Byung Moon) ; 김영대(Kim, Young Dae) ; 남효석(Nam, Hyo Suk) ; 허지회(Heo, Ji Hoe)
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