A rare case of bilateral internal carotid artery and right vertebral artery occlusion

Annals of vascular surgery. Brief reports and innovations Pub Date : 2024-09-01 DOI:10.1016/j.avsurg.2024.100332

Eleni Georgiadi, Georgios S. Sfyroeras, Georgia Papavassileiou, John D. Kakisis

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Abstract

Introduction

Bilateral internal carotid artery (ICA) occlusion is a rare type of cerebrovascular disease that carries a high risk for recurrent transient ischemic attacks.

Case report

We report a case involving a 67-year-old man presenting with bilateral internal carotid artery (ICA) occlusion, along with an additional occlusion in the right vertebral artery. Imaging revealed adequate collateral flow through the posterior circulation and external carotid artery (ECA) collaterals. He was treated with antiplatelet therapy. During follow up, neurologic examination showed no focal deficits.

Conclusion

While bilateral ICA occlusion can have devastating clinical outcomes, it may be a relatively benign condition if there is sufficient collateral circulation.

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双侧颈内动脉和右侧椎动脉闭塞的罕见病例

导言双侧颈内动脉（ICA）闭塞是一种罕见的脑血管疾病，具有复发性短暂性脑缺血发作的高风险。病例报告我们报告了一个病例，患者是一名 67 岁的男性，双侧颈内动脉（ICA）闭塞，右侧椎动脉也有闭塞。影像学检查显示，后循环和颈外动脉（ECA）侧支有足够的侧支血流。他接受了抗血小板治疗。结论虽然双侧 ICA 闭塞可能会导致严重的临床后果，但如果有足够的侧支循环，它可能是一种相对良性的疾病。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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