Journal of Korean Neurosurgical Society

  • 제46권5호
  • /
  • Pages.488-491
  • /
  • 2009
  • /
  • 2005-3711(pISSN)
  • /
  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
권호 표지
DOI QR코드

DOI QR Code

External Carotid Artery Angioplasty and Stenting Followed by Superficial Temporal Artery to Middle Cerebral Artery Anastomosis

  • Ko, Jun-Kyeung (Department of Neurosurgery, School of Medicine, Pusan National University) ;
  • Lee, Sang-Weon (Department of Neurosurgery, School of Medicine, Pusan National University) ;
  • Lee, Tae-Hong (Department of Radiology, School of Medicine, Pusan National University) ;
  • Choi, Chang-Hwa (Department of Neurosurgery, School of Medicine, Pusan National University)
  • 발행 : 2009.11.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

A 31-year-old man presented with right hemiparesis, and magnetic resonance imaging revealed a small infarct at left basal ganglia. Digital subtraction angiography showed left cervical internal carotid artery (ICA) occlusion and severe stenosis of the ipsilateral external carotid artery (ECA) with collateral cerebral circulation fed by ECAs. Based on the results of a functional evaluation of cerebral blood flow, we performed preventive ECA angioplasty and stenting for advanced ECA stenosis to ensure sufficient blood flow to the superficial temporal artery. Eight weeks later, superficial temporal artery to middle cerebral artery (STA-MCA) anastomosis was performed. His postoperative course was uneventful and no additional transient ischemic attacks have occurred. To our knowledge, this is the first report of preventive angioplasty and stenting for advanced narrowing of an ECA before STA-MCA anastomosis for ipsilateral ICA occlusion.

키워드

참고문헌

  1. Ascer E, Gennaro M, Pollina RM, Salles-Cunha S, Lorenson E, Yorkovich WR, et al : The natural history of the external carotid artery after carotid endarterectomy: implications for management. J Vasc Surg 23 : 582-585; discussion 585-586, 1996 https://doi.org/10.1016/S0741-5214(96)80036-X
  2. Derdeyn CP, Videen TO, Grubb RL Jr, Powers WJ : Comparison of PET oxygen extraction fraction methods for the prediction of stroke risk. J Nucl Med 42 : 1195-1197, 2001
  3. EC/IC Bypass Study Group : Failure of extracranial-intracranial arterial bypass to reduce the risk of ischemic stroke. Result of an international randomized trial. N Engl J Med 19 : 1191-1200, 1985
  4. Fearn SJ, Picton AJ, Mortimer AJ, Parry AD, McCollum CN : The contribution of the external carotid artery to cerebral perfusion in carotid disease. J Vasc Surg 31 : 989-993, 2000 https://doi.org/10.1067/mva.2000.104598
  5. Flaherty ML, Flemming KD, McClelland R, Jorgensen NW, Brown RD Jr : Population-based study of symptomatic internal carotid artery occlusion: incidence and long-term follow-up. Stroke 35 : E349-E352, 2004 https://doi.org/10.1161/01.STR.0000135024.54608.3f
  6. Grubb RL Jr, Derdeyn CP, Fritsch SM, Carpenter DA, Yundt KD, Videen TO, et al : Importance of hemodynamic factors in the prognosis of symptomatic carotid occlusion. JAMA 280 : 1055-1060, 1998 https://doi.org/10.1001/jama.280.12.1055
  7. Harris LM, Pillai L, Ricotta JJ : External carotid endarterectomy with internal carotid artery transposition flap angioplasty for symptomatic internal carotid artery occlusion. Cardiovasc Surg 3 : 625-629, 1995 https://doi.org/10.1016/0967-2109(96)82860-2
  8. Herzig R, Hlustík P, Urb$\acute{a}$nek K, Vaverka M, Burval S, Mach$\acute{a}$c J, et al : Can we identify patients with carotid occlusion who would benefit from EC/IC bypass? Review. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 148 : 119-122, 2004 https://doi.org/10.5507/bp.2004.021
  9. Kappelle LJ, Klijn CJ, Tulleken CA : Management of patients with symptomatic carotid artery occlusion. Clin Exp Hypertens 24 : 631-637, 2002 https://doi.org/10.1081/CEH-120015339
  10. Kawamata T, Okada Y, Kawashima A, Yamaguchi K, Hori T : External carotid endarterectomy followed by superficial temporal artery to middle cerebral artery anastomosis for internal carotid artery occlusion with advanced ipsilateral external carotid stenosis. Neurosurgery 62 : ONS395-399; discussion ONS399, 2008
  11. Klijn CJ, van Buren PA, Kappelle LJ, Tulleken CA, Eikelboom BC, Algra A, et al : Outcome in patients with symptomatic occlusion of the internal carotid artery. Eur J Vasc Endovasc Surg 19 : 579-586, 2000 https://doi.org/10.1053/ejvs.2000.1129
  12. Mehdorn HM : Cerebral revascularization by EC-IC bypass-present status. Acta Neurochir Suppl 103 : 73-77, 2008 https://doi.org/10.1007/978-3-211-76589-0_13
  13. Reid DB, Irshad K, Miller S, Reid AW, Reid W, Diethrich EB : Endovascular significance of the external carotid artery in the treatment of cerebrovascular insufficiency. J Endovasc Ther 11 : 727-733, 2004 https://doi.org/10.1583/04-1321.1
  14. Schaller B : Extracranial-intracranial bypass surgery to reduce the risk of haemodynamic stroke in cerebroocclusive atherosclerotic disease of the anterior cerebral circulation - a systematic review. Neurol Neurochir Pol 41 : 457-471, 2007
  15. Sundt TM Jr : Was the international randomized trial of extracranialintracranial arterial bypass representative of the population at risk? N Engl J Med 316 : 814-816, 1987 https://doi.org/10.1056/NEJM198703263161318
  16. Vitek JJ : Percutaneous transluminal angioplasty of the external carotid artery. AJNR Am J Neuroradiol 4 : 796-799, 1983

피인용 문헌

  1. Limb-Shaking Transient Ischemic Attacks Successfully Treated with External Carotid Artery Stenting vol.2012, pp.None, 2012, https://doi.org/10.1155/2012/532329
  2. Endovascular Repair of External Carotid Artery Disease vol.19, pp.4, 2009, https://doi.org/10.1583/jevt-12-3886r.1
  3. External carotid stenting for symptomatic stenosis in a patient with patent EDAS for Moyamoya disease vol.2014, pp.None, 2009, https://doi.org/10.1136/bcr-2014-011328
  4. Preventive External Carotid Artery Angioplasty and Stenting Followed by Superficial Temporal Artery to Middle Cerebral Artery Anastomosis for Ipsilateral Internal Carotid Artery Occlusion: A Case Repo vol.43, pp.3, 2009, https://doi.org/10.2335/scs.43.228
  5. External carotid stenting for symptomatic stenosis in a patient with patent EDAS for Moyamoya disease vol.7, pp.9, 2015, https://doi.org/10.1136/neurintsurg-2014-011328.rep
  6. Urgent Bypass Surgery Following Failed Endovascular Treatment in Acute Symptomatic Stroke Patient With MCA Occlusion vol.22, pp.1, 2009, https://doi.org/10.1097/nrl.0000000000000086