Stump embolization from an occluded internal carotid artery

Case report

Restricted access

✓ A patient with known internal carotid artery occlusion developed transient ischemic attacks in the distribution of the occluded vessel. Arteriography demonstrated a thrombus clearly originating from the internal carotid artery stump, which was unassociated with significantly stenotic atherosclerotic disease of the ipsilateral common or external carotid arteries. Stump angioplasty and endarterectomy led to complete and sustained cessation of further symptoms.

Article Information

Contributor Notes

Address reprint requests to: Arthur L. Day, M.D., Department of Neurosurgery, University of Florida, Gainesville, Florida 32610.

© AANS, except where prohibited by US copyright law.

Headings
References
  • 1.

    Barnett HJM: Delayed cerebral ischemic episodes distal to occlusion of major cerebral arteries. Neurology 28:1697741978Barnett HJM: Delayed cerebral ischemic episodes distal to occlusion of major cerebral arteries. Neurology 28:169–774 1978

    • Search Google Scholar
    • Export Citation
  • 2.

    Barnett HJMPeerless SJKaufman JCE: “Stump” of internal carotid artery — a source for further cerebral embolic ischemia. Stroke 9:4484561978Barnett HJM Peerless SJ Kaufman JCE: “Stump” of internal carotid artery — a source for further cerebral embolic ischemia. Stroke 9:448–456 1978

    • Search Google Scholar
    • Export Citation
  • 3.

    Benzel ECSittig KMMirfakhraee M: Internal carotid artery stump angioplasty for the treatment of cerebrovascular occlusive disease. J Neurosurg 65:4614641986Benzel EC Sittig KM Mirfakhraee M: Internal carotid artery stump angioplasty for the treatment of cerebrovascular occlusive disease. J Neurosurg 65:461–464 1986

    • Search Google Scholar
    • Export Citation
  • 4.

    Burnbaum MDSelhorst JBHarbison JWet al: Amaurosis fugax from disease of the external carotid artery. Arch Neurol 34:5325351977Burnbaum MD Selhorst JB Harbison JW et al: Amaurosis fugax from disease of the external carotid artery. Arch Neurol 34:532–535 1977

    • Search Google Scholar
    • Export Citation
  • 5.

    Clayson KREdwards WH: Importance of the external carotid artery in extracranial cerebrovascular occlusive disease. South Med J 70:9049091977Clayson KR Edwards WH: Importance of the external carotid artery in extracranial cerebrovascular occlusive disease. South Med J 70:904–909 1977

    • Search Google Scholar
    • Export Citation
  • 6.

    Connolly JEStemmer EA: Endarterectomy of the external carotid artery. Its importance in the surgical management of extracranial cerebrovascular occlusive disease. Arch Surg 106:7998021973Connolly JE Stemmer EA: Endarterectomy of the external carotid artery. Its importance in the surgical management of extracranial cerebrovascular occlusive disease. Arch Surg 106:799–802 1973

    • Search Google Scholar
    • Export Citation
  • 7.

    Countee RWVijayanathan T: External carotid artery in internal carotid artery occlusion. Angiographic, therapeutic, and prognostic considerations. Stroke 10:4504601979Countee RW Vijayanathan T: External carotid artery in internal carotid artery occlusion. Angiographic therapeutic and prognostic considerations. Stroke 10:450–460 1979

    • Search Google Scholar
    • Export Citation
  • 8.

    Countee RWVijayanathan T: Intracranial embolization via external carotid artery: report of a case with angiographic documentation. Stroke 11:4654681980Countee RW Vijayanathan T: Intracranial embolization via external carotid artery: report of a case with angiographic documentation. Stroke 11:465–468 1980

    • Search Google Scholar
    • Export Citation
  • 9.

    Diethrich EBLiddicoat JEMcCutchen JJet al: Surgical significance of the external carotid artery in the treatment of cerebrovascular insufficiency. J Cardiovasc Surg 9:2132231968Diethrich EB Liddicoat JE McCutchen JJ et al: Surgical significance of the external carotid artery in the treatment of cerebrovascular insufficiency. J Cardiovasc Surg 9:213–223 1968

    • Search Google Scholar
    • Export Citation
  • 10.

    Enrenfield WKLord RSA: Transient monocular blindness through collateral pathways. Surgery 65:9119151969Enrenfield WK Lord RSA: Transient monocular blindness through collateral pathways. Surgery 65:911–915 1969

    • Search Google Scholar
    • Export Citation
  • 11.

    Lamberth WC: External carotid endarterectomy: indications, operative technique, and results. Surgery 93:57631983Lamberth WC: External carotid endarterectomy: indications operative technique and results. Surgery 93:57–63 1983

    • Search Google Scholar
    • Export Citation
  • 12.

    McIntyre KEEly III RLMalone JMet al: External carotid artery reconstruction: its role in the treatment of cerebral ischemia. Am J Surg 150:58641985McIntyre KE Ely III RL Malone JM et al: External carotid artery reconstruction: its role in the treatment of cerebral ischemia. Am J Surg 150:58–64 1985

    • Search Google Scholar
    • Export Citation
  • 13.

    Moran JMReichman OHBaker WH: Staged intracranial and extracranial revascularization. Arch Surg 112:142414281977Moran JM Reichman OH Baker WH: Staged intracranial and extracranial revascularization. Arch Surg 112:1424–1428 1977

    • Search Google Scholar
    • Export Citation
  • 14.

    Riles TSImparato AMKapelman I: Carotid artery stenosis with contralateral internal carotid occlusion: long-term results in fifty-four patients. Surgery 87:3633681980Riles TS Imparato AM Kapelman I: Carotid artery stenosis with contralateral internal carotid occlusion: long-term results in fifty-four patients. Surgery 87:363–368 1980

    • Search Google Scholar
    • Export Citation
  • 15.

    Schuler JJFlanigan DPDeBord JRet al: The treatment of cerebral ischemia by external carotid artery revascularization. Arch Surg 118:5675721983Schuler JJ Flanigan DP DeBord JR et al: The treatment of cerebral ischemia by external carotid artery revascularization. Arch Surg 118:567–572 1983

    • Search Google Scholar
    • Export Citation
  • 16.

    Zarins CKDelBeccaro EJJohns Let al: Increased cerebral blood flow after external carotid artery revascularization. Surgery 89:7307341981Zarins CK DelBeccaro EJ Johns L et al: Increased cerebral blood flow after external carotid artery revascularization. Surgery 89:730–734 1981

    • Search Google Scholar
    • Export Citation
TrendMD
Metrics

Metrics

All Time Past Year Past 30 Days
Abstract Views 141 141 65
Full Text Views 126 117 0
PDF Downloads 62 51 0
EPUB Downloads 0 0 0
PubMed
Google Scholar