PT  - JOURNAL ARTICLE
AU  - Tran, Dang Khoi
AU  - Nguyen, Huu-Thao
AU  - Huang, Chih-Wei
AU  - Chung, Kai-Chen
AU  - Tsuei, Yuang Seng
TI  - Reentry Technique for Rescue Recanalization of Carotid Near-Total Occlusion after Subintimal Penetration
AID  - 10.3174/ajnr.A8860
DP  - 2025 Jun 19
TA  - American Journal of Neuroradiology
4099  - http://www.ajnr.org/content/early/2025/06/19/ajnr.A8860.short
4100  - http://www.ajnr.org/content/early/2025/06/19/ajnr.A8860.full
AB  - Carotid stent placement is an effective alternative for stroke prevention in patients with carotid stenosis. However, endovascular recanalization of near-total carotid occlusion remains challenging, with subintimal dissection sometimes unavoidable. We present the case of an adult in their 70s with symptomatic carotid stenosis. During plaque crossing with a microwire, unintentional subintimal dissection occurred. The reentry technique, using a specialized reentry catheter, was performed, followed by carotid stent placement, achieving successful recanalization. The patient made a good clinical recovery. In selected cases, subintimal recanalization of carotid occlusion using the rescue re-entry technique can be performed safely after entry into the false lumen.1⇓⇓⇓-5