Percutaneous transluminal angioplasty and stenting for chronic total occlusion of intracranial carotid artery: a case report

Interv Neuroradiol. 2006 Sep 15;12(3):263-8. doi: 10.1177/159101990601200310. Epub 2006 Dec 13.

Abstract

Chronic total occlusion of cerebrovascular lesions is regarded as a contraindication to revascularization. We describe a case of chronic total occlusion of intracranial internal carotid artery that iwass successfully recanalized by endovascular treatment. A 72-year-old man who presented with slight right hemiparesis was proved to have chronic total occlusion of the left intracranial internal carotid artery. Percutaneous transluminal angioplasty/stenting was achieved using reversal of flow with the Parodi Anti-Embolic System. The present case indicates that percutaneous transluminal angioplasty/stenting can be an effective therapeutic option in selected patients with chronic total occlusion of cerebrovascular lesions.