Endovascular Stenting of the Cervical Internal Carotid Artery

Abstract

The purpose of this study was to determine the value of stenting in the treatment of occlusive vascular disease involving the cervical internal carotid artery. Clinical and angiographical results of stenting were compared those of conventional angioplasty alone up to 20 months of follow-up.

The Palmaz-Schatz stent was implanted in two patients with acute intimal dissection, whereas conventional angioplasty alone was performed in seven patients with arteriosclerotic stenosis. Initial procedural success was achieved in all the patients, and acute or subacute complications were not encountered at all.

One of the patients (14%) treated with conventional angioplasty alone developed late restenosis at three-month follow-up. The patients treated with stenting revealed satisfactory results clinically and angiographically.

The present results may suggest that stenting is an effective and safe method to treat dissection of cervical internal carotid artery, but larger clinical trials as well as experimental studies would be necessary to define the indications and refine the stents.

Keywords

stent internal carotid artery cervical PTA

Get full access to this article

View all access options for this article.

References

Becker

: Should metallic vascular stents be used to treat cereberovascular occlusive diseases? Radiology 191: 309–312, 1994.

Marks

Dake

: Stent placement for arterial venous cereberovascular disease: Preliminary experience. Radiology 191: 441–446, 1994.

Miyachi

Ishiguchi

: Endovascular stenting of a traumatic dissecting aneurysm of the extracranial internal carotid artery. Neuro Med Chir (Tokyo) 37: 270–274, 1997.

Yamashita

Okamoto

: Emergent Treatment of Iatrogenic dissection of the internal carotid artery with the Palmaz-Schatz stent. Neuro Med Chir (Tokyo) 37: 336–339, 1997.

Fishman

Leon

: A randomized comparison of coronary stent placement and balloon angioplasty in the treatment of coronary artery disease. N Eng J Med 331: 496–501, 1994.

Saito

: Primary stent implantation without coumadin in acute myocardial infarction. J Am Coll Cardiol 28: 74–81, 1996.

George

Voorhees

: Multicenter investigation of coronary stenting to treat acute or threatened closure after percutaneous transluminal coronary angioplasty: Clinical and angiographic outcomes. J Am Coll Cardiol 22: 135–143, 1993.