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AJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology 28:168-171, January 2007
© 2007 American Society of Neuroradiology

Case Report
INTERVENTIONAL

Stenting and Angioplasty of the Symptomatic Chronically Occluded Carotid Artery

A.J. Thomas^a, R. Gupta^b, A.H. Tayal^b, M.B. Horowitz^a,c and T.G. Jovin^b

^a Department of Neurosurgery, University of Pittsburgh Medical Center, Pittsburgh, Pa
^b Neurology/Stroke Institute, University of Pittsburgh Medical Center, Pittsburgh, Pa
^c Department of Radiology, University of Pittsburgh Medical Center, Pittsburgh, Pa

Address correspondence to Tudor G. Jovin, MD, University of Pittsburgh Medical Center, Stroke Institute, 200 Lothrop St, Suite C-400, Pittsburgh, PA 15213; e-mail: jovintg{at}upmc.edu

SUMMARY: Patients with hemodynamic impairment ipsilateral to a carotid occlusion are at a high risk of subsequent stroke, and currently 2 surgical options have been studied: extracranial-to-intracranial bypass and direct thromboendarterectomy. We report the successful revascularization of 2 symptomatic chronically occluded carotid arteries with stenting and angioplasty.