T-Configuration Stent Placement for Carotid Bifurcation Stenosis Co-Existing with Ipsilateral Intracranial Stenosis: A Case Report and Literature Review |
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| Authors: | Yuki Kubota Yoshiki Hanaoka Jun-ichi Koyama Yu Fujii Toshihiro Ogiwara Kiyoshi Ito Tetsuyoshi Horiuchi |
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| Affiliation: | 2. Neuroendovascular Therapy Center, Shinshu University Hospital, Matsumoto, Japan;1. Department of Vascular Surgery, Zhongshan Hospital, Fudan University, Shanghai, China;2. Vascular Surgery Institute of Fudan University, Shanghai, China;3. Department of Vascular Surgery, Affiliated Ji''nan Central Hospital of Shandong First Medical University, Jinan, China;4. Department of Vascular Surgery, Xiamen Branch, Zhongshan Hospital, Fudan University, Xiamen, China;2. University of Health Sciences, Kecioren Training and Research Hospital, Department of Internal Medicine, Ankara, Turkey |
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| Abstract: | In patients with carotid bifurcation stenosis co-existing with ipsilateral intracranial artery stenosis, combined treatment with carotid artery stenting (CAS)/carotid endarterectomy (CEA) and extracranial-to- intracranial (EC-IC) bypass can be a useful option to prevent future ischemic stroke events. EC-IC bypass requires a sufficient antegrade flow in the ipsilateral external carotid artery. However, standard CAS/CEA occasionally lead to external carotid artery occlusion. Herein, we present a case of successful one-stage endovascular revascularization of both the antegrade internal and external carotid artery flow using the carotid T-stent technique for carotid bifurcation stenosis co-existing with ipsilateral middle cerebral artery stenosis. |
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