RT Journal Article
SR Electronic
T1 Reentry Technique for Rescue Recanalization of Carotid Near-Total Occlusion after Subintimal Penetration
JF American Journal of Neuroradiology
JO Am. J. Neuroradiol.
FD American Society of Neuroradiology
DO 10.3174/ajnr.A8860
A1 Tran, Dang Khoi
A1 Nguyen, Huu-Thao
A1 Huang, Chih-Wei
A1 Chung, Kai-Chen
A1 Tsuei, Yuang Seng
YR 2025
UL http://www.ajnr.org/content/early/2025/06/19/ajnr.A8860.abstract
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