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[The spontaneous recanalization of the internal carotid artery. Case report]

Blanka Várnai1, Gábor Simonyi2, Andrea Rapcsányi3

  • 1VIP-I Profil, Szent Imre Egyetemi Oktatókórház Budapest, Tétényi út 12-16., 1115.

Orvosi Hetilap
|September 11, 2018
PubMed

Insights

Internal carotid artery (ICA) occlusion, a common cause of stroke, can occasionally recanalize spontaneously. This case study shows ICA occlusion is not always permanent, allowing for potential surgical intervention like endarterectomy.

Area of Science:

  • Vascular Neurology
  • Interventional Neurology

Background:

  • Internal carotid artery (ICA) occlusion is a significant risk factor for ischemic stroke, often resulting from embolism or atherosclerotic thrombosis.
  • Traditionally, ICA occlusion is considered irreversible, necessitating regular imaging surveillance such as duplex ultrasonography or CT angiography.

Observation:

  • A case study of a 67-year-old male with right ICA occlusion and subsequent ischemic stroke is presented.
  • The patient experienced spontaneous recanalization of the occluded ICA, which was confirmed through imaging.
  • This spontaneous recanalization enabled a successful endarterectomy procedure.

Findings:

  • The study highlights that internal carotid artery occlusion is not invariably permanent.
  • Spontaneous recanalization of the ICA, though uncommon, can occur and offers therapeutic possibilities.
  • The case demonstrates a potential window for intervention after initial occlusion.

Implications:

  • This finding challenges the traditional view of ICA occlusion as irreversible.
  • It suggests the need for continued monitoring and reassessment of patients with ICA occlusion.
  • Further prospective studies are warranted to investigate the frequency and predictors of spontaneous ICA recanalization and its impact on treatment strategies.

Keywords:
CT angiographyCT-angiográfiaarteria carotis internaendarterectomiaendarterectomyinternal carotid arteryrecanalizationrekanalizáció

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