Several large randomized clinical trials in North America and Europe concluded over a decade ago that carotid endarterectomy plus medical management was significantly better than medical management alone for stroke prevention in either symptomatic or asymptomatic patients with severe carotid stenosis. Percutaneous carotid angioplasty now represents yet another treatment option that currently ap...

Percutaneous transluminal angioplasty was used to treat stenotic lesions in 10 external carotid arteries in nine patients. Four representative cases are described. Nine arteries were successfully dilated. One attempt failed because the catheter could not be passed through the stenosis. Spasm of the distal external carotid artery due to guide wire-catheter manipulation was seen in six patients. ...

Patients with hemodynamic impairment ipsilateral to a carotid occlusion are at a high risk of subsequent stroke, and currently 2 surgical options have been studied: extracranial-to-intracranial bypass and direct thromboendarterectomy. We report the successful revascularization of 2 symptomatic chronically occluded carotid arteries with stenting and angioplasty.

Our aim was to report techniques and our experience in One-stage angioplasty and stenting of ostium of left common carotid and left internal carotid arteries in an octogenarian man with transient ischemic attack, who was completely recovered from neurologic insults short time after the procedure. An 81-year-old man presented with a transient ischemic attack. Neurologic examination showed left s...

An 89-year-old man presented with two separate minor stroke episodes due to high grade bilateral carotid stenoses, which were successfully treated with endovascular angioplasty and stenting. The role of operative interventions for high grade symptomatic carotid stenosis in patients aged over 80 years is discussed.

72. European Carotid Surgery Trialists’ Collaborative Group. MRC European carotid surgery trial: interim results for symptomatic patients with severe carotid stenosis and with mild carotid stenosis. Lancet 1991; 337: 1235–1243 73. Ferguson GG, Eliasziw M, Barr HWK et al. The North American symptomatic carotid endarterectomy trial: surgical result in 1415 patients. Stroke 1999; 30: 1751–1758 74....

Percutaneous transluminal angioplasty (PTA) is being extensively applied to treat arteriosclerotic lesions. However, this application has not been widely accepted for the treatment of carotid artery stenosis. Successful attempts to relieve cerebral ischemia from extracranial carotid arterial stenosis by PTA are reported. Twenty-seven patients with arteriosclerotic stenosis, fibromuscular diseas...

A lady with aortitis syndrome developed in-stent restenosis (ISR) of the innominate artery stent and critical stenosis of right internal carotid artery. The therapeutic challenge was gaining access to the carotid vessel, after treating the innominate artery ISR and all the while using distal protection to circumvent potential cerebral embolism. Percutaneous transluminal angioplasty (PTA) with o...

BACKGROUND The hyperperfusion syndrome is a recognized complication of carotid endarterectomy. Reports of cerebral hyperperfusion injury following internal carotid artery (ICA) angioplasty are few, and this complication has never been reported following internal carotid stenting. CASE DESCRIPTION A 68-year-old normotensive man was referred to our hospital for assessment 5 months after experie...