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J Korean Neurosurg Soc.  2012 Dec;52(6):551-554. 10.3340/jkns.2012.52.6.551.

Superficial Temporal Artery-Middle Cerebral Artery Anastomosis for Internal Carotid Artery Occlusion by Subacute In-Stent Thrombosis after Carotid Artery Stenting

Affiliations
  • 1Department of Neurosurgery, Busan Paik Hospital, School of Medicine, Inje University, Busan, Korea. kimst015@hanmail.net
  • 2Department of Diagnostic Radiology, Busan Paik Hospital, School of Medicine, Inje University, Busan, Korea.

Abstract

Alternative to carotid endarterectomy, carotid artery stenting (CAS) can be performed for symptomatic severe stenosis of internal carotid artery, especially for high-risk patients. Among several complications after CAS, subacute in-stent thrombosis is rare but important, because patient's condition can deteriorate rapidly. Subacute in-stent thrombosis with carotid artery occlusion can be managed by superficial temporal artery-middle cerebral artery (STA-MCA) anastomosis. We report two cases of STA-MCA anastomosis for internal carotid artery occlusion by subacute in-stent thrombosis after CAS.

Keyword

Carotid artery stenting (CAS); Subacute in-stent thrombosis; Superficial temporal artery-middle cerebral artery (STA-MCA) anastomosis

MeSH Terms

Carotid Arteries
Carotid Artery, Internal
Cerebral Arteries
Constriction, Pathologic
Endarterectomy, Carotid
Humans
Stents
Thrombosis
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