External carotid stenting for symptomatic stenosis in a patient with patent EDAS for Moyamoya disease.
J Neurointerv Surg
; 7(9): e32, 2015 Sep.
Article
in En
| MEDLINE
| ID: mdl-25100873
ABSTRACT
BACKGROUND:
Moyamoya disease is characterized by progressive narrowing of the internal carotid artery (ICA). Symptomatic patients typically undergo cerebrovascular intervention via extracranial-intracranial (EC-IC) bypass, most often with the use of the superficial temporal artery. This case of Moyamoya disease is of particular interest as the patient presented with a unilateral atherosclerotic external carotid artery (ECA) stenosis after EC-IC bypass that eliminated the benefit of his original surgery, resulting in a symptomatic presentation. CLINICAL PRESENTATION A 53-year-old man presenting with Moyamoya disease and known left ICA occlusion had received a bilateral encephaloduroarteriosynangiosis (EDAS) bypass 10â years previously. He re-presented complaining of right-sided tingling, weakness, and numbness radiating up the arm. CT angiography indicated significant stenosis of the left ECA. ECA angioplasty and stenting with a distal protection device resulted in resolution of his symptoms.CONCLUSIONS:
This case illustrates that a patient presenting with Moyamoya disease and concurrent symptomatic ECA stenosis post-EDAS can be effectively and safely treated with ECA stenting.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Stents
/
Carotid Stenosis
/
Moyamoya Disease
Type of study:
Diagnostic_studies
/
Etiology_studies
Limits:
Humans
/
Male
/
Middle aged
Language:
En
Journal:
J Neurointerv Surg
Year:
2015
Document type:
Article
Affiliation country:
United States