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OtherINTERVENTIONAL

Emergency Carotid Artery Stenting in Persistent Hemodynamic Deficit Associated with Severe Carotid Stenosis

Benjamin S. Geisler, Joachim Röther, Thomas Kucinski, Hermann Zeumer and Bernd Eckert
American Journal of Neuroradiology March 2005, 26 (3) 549-552;
Benjamin S. Geisler
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Joachim Röther
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Thomas Kucinski
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Hermann Zeumer
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Bernd Eckert
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    Fig 1.

    MR imaging 2 hours after the onset of stroke.

    A and D, Acute MR imaging with two representative sections of DW imaging revealing a small lesion in the subcortical white matter (A, arrow), suggesting hemodynamic infarction.

    B and E, Acute MR imaging with the same sections of TTP, demonstrating a perfusion delay in almost the entire right MCA territory and in both ACA territories.

    C and F, Acute MR imaging with the same sections of CBF showing a decrease of cerebral blood flow in almost the entire right MCA territory and in both ACA territories, matching the TTP results.

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    Fig 2.

    Before CAS placement.

    A, Initial CE-MRA displaying a high-grade stenosis of the proximal right ICA (arrow), a moderate stenosis of the left ICA, and lack of an A1-segment of the left ACA.

    B, Diagnostic angiography of the right ICA (anteroposterior) after selective injection in the right CCA, revealing the >95% stenosis of the proximal right ICA (arrow).

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    Fig 3.

    Three angiographic depictions during CAS (after selective CCA injection; anteroposterior views).

    A, Guidewire placed through the stenosis.

    B, Stent deployment along the stenosis.

    C, Complete recanalization of the proximal right ICA after treatment.

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    Fig 4.

    MR imaging at follow-up.

    A and D, MR imaging 24 hours after treatment with corresponding sections of DW imaging without any new cortical or subcortical ischemic lesions.

    B and E, MR imaging 24 hours after treatment with the same sections of TTP demonstrating a timely reperfusion of the right MCA and both ACA territories.

    C and F, MR imaging 24 hours after treatment with the same sections of CBF showing a normalized cerebral blood flow, matching the TTP results.

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American Journal of Neuroradiology: 26 (3)
American Journal of Neuroradiology
Vol. 26, Issue 3
1 Mar 2005
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Cite this article
Benjamin S. Geisler, Joachim Röther, Thomas Kucinski, Hermann Zeumer, Bernd Eckert
Emergency Carotid Artery Stenting in Persistent Hemodynamic Deficit Associated with Severe Carotid Stenosis
American Journal of Neuroradiology Mar 2005, 26 (3) 549-552;

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Emergency Carotid Artery Stenting in Persistent Hemodynamic Deficit Associated with Severe Carotid Stenosis
Benjamin S. Geisler, Joachim Röther, Thomas Kucinski, Hermann Zeumer, Bernd Eckert
American Journal of Neuroradiology Mar 2005, 26 (3) 549-552;
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  • Safety and effectiveness of emergency carotid artery stenting for a high-grade carotid stenosis with intraluminal thrombus under proximal flow control in hyperacute and acute stroke
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  • A Meta-analysis of Combined Aspiration Catheter and Stent Retriever versus Stent Retriever Alone for Large-Vessel Occlusion Ischemic Stroke
  • Follow-up of Intracranial Aneurysms Treated by Flow Diverters: Evaluation of Parent Artery Patency Using 3D-T1 Gradient Recalled-Echo Imaging with 2-Point Dixon in Combination with 3D-TOF-MRA with Compressed Sensing
  • Safety, Efficacy, and Durability of Stent-Assisted Coiling Treatment of M2 (Insular) Segment MCA Aneurysms
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