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Updated: May 23, 2026

Bilateral Common Carotid Artery Occlusion as an Adequate Preconditioning Stimulus to Induce Early Ischemic Tolerance to Focal Cerebral Ischemia
Published on: May 9, 2013
Anterior cerebral artery angioplasty for intracranial atherosclerosis
Nazli Janjua1, Afshin A Divani, Adnan I Qureshi
1Zeenat Qureshi Stroke Research Center, Department of Neurology and Neurosciences, University of Medicine and Dentistry of New Jersey.
Background:
Angioplasty of the intracranial vasculature has been well described for the middle cerebral artery and carotid terminus, primarily in the setting of vasospasm following subarachnoid hemorrhage. Endovascular therapy for anterior cerebral artery stenosis has not heretofore been described.
Case Report:
We report the case of A1 segment angioplasty in a 77 year old man with presumed intracranial atherosclerosis.
Discussion:
The proximal anterior cerebral artery serves the anterior caudate and lenticular nuclei; blockade produces motor symptoms. The anterior cerebral artery is smaller than the middle, making angioplasty more difficult. Anatomical variants are common.
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