Hybrid recanalization for occluded internal carotied artery followed by mechanical thrombectomy for distal artery: A case report and literature review / 中国脑血管病杂志

ABSTRACT

The clinical characteristics of a patient who received hybrid racanalizaion for chronic occlusion of right internal carotid artery was retrospectively analyzed in this report The advantages of hybrid operation for such lesion was discussed and reviewed. This patient was a 59 years old man, who suffered from numbness and weakness at right extremities accompanied with clumsy response. DSA revealed ulcerative plaque in the left internal carotid artery and occlusion of the right internal carotid artery. The hybrid operation to racanalize the occluded right internal carotid artery was performed. Firsdy, right carotid endarlerectomy was perfomed. Intraoperative DSA confirmed right internal carotid artery was recanalized, but the ipsilatcral M2 segment became invisible. It was occluded by a detached embolus which was retrieved by a stent to recover the patency of the artery. This case suggested that hybrid recanalization of occluded internal carotid artery could make use of merits of both endarterectomy and interventional techniques, thus increasing the opportunity of recanalization. Besides, control radiological imaging can be performed at any time during operation to better assure patients' safety.