Symptomatic Severe Stenosis of Cavernous Internal Carotid Artery Stenting: A Case Report with Short Literature Review.

Asian journal of neurosurgery Pub Date : 2024-11-05 eCollection Date: 2025-03-01 DOI:10.1055/s-0044-1792161
Mohan Karki, Girish Rajpal
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引用次数: 0

Abstract

Intracranial internal carotid artery (ICA) stenosis is rarely reported as compared with extracranial ICA stenosis. Atherosclerosis is one of the major beginnings of stenosis of vasculatures, which may lead to ischemic stroke causing morbidity and mortality. We report the case of a 60 -year-old man presented to us with complaints of multiple episodes of dizziness, mild headache, and transient left arm weakness for 3 months and had history of smoking, hypercholesterolemia (high level of low-density lipoprotein level = 220 mg/dL), diabetes mellitus, and hypertension under medication. No neurological deficits were observed at the time of admission. Patient underwent angioplasty and stenting with drug-eluting balloon-expandable coronary stent. Patient was discharged well at the 3rd day of procedure. No recurrence of stroke and restenosis were noted till 3 months of follow-up period. Stenting following angioplasty for treatment of symptomatic severe cavernous ICA stenosis with everolimus-eluting coronary balloon-expandable stent, Xience Xpedition, is safe and effective.

海绵状颈内动脉支架植入术后症状性重度狭窄:病例报告与简短文献综述。
与颅外颈内动脉(ICA)狭窄相比,颅内颈内动脉(ICA)狭窄鲜有报道。动脉粥样硬化是血管狭窄的主要起因之一,可能导致缺血性中风,造成发病和死亡。我们报告了一例 60 岁男性患者的病例,他主诉多次头晕、轻微头痛和一过性左臂无力,已持续 3 个月,有吸烟史、高胆固醇血症(低密度脂蛋白水平高 = 220 毫克/分升)、糖尿病和药物治疗的高血压。入院时未发现神经功能障碍。患者接受了血管成形术和药物洗脱球囊扩张冠状动脉支架植入术。术后第三天,患者康复出院。随访 3 个月,未发现中风复发和再狭窄。在血管成形术后使用依维莫司洗脱冠状动脉球囊扩张支架(Xience Xpedition)治疗无症状的重度海绵状伊卡腔狭窄是安全有效的。
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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