Spotlight on clinical strategies of Chronic Internal Carotid Artery Occlusion: Endovascular interventions and external-intracarotid bypasses compared to conservative treatment

Junnan Wu; Chaoyou Fang; Lingying Wei; Yibo Liu; Yibo Liu; Houshi Xu; Xiaoyu Wang; Xiaoyu Wang; Ling Yuan; Xiaoya Wu; Yuanzhi Xu; Anke Zhang; Anke Zhang

doi:10.3389/fsurg.2022.971066

Frontiers in Surgery (Nov 2022)

Spotlight on clinical strategies of Chronic Internal Carotid Artery Occlusion: Endovascular interventions and external-intracarotid bypasses compared to conservative treatment

Junnan Wu,
Chaoyou Fang,
Lingying Wei,
Yibo Liu,
Yibo Liu,
Houshi Xu,
Xiaoyu Wang,
Xiaoyu Wang,
Ling Yuan,
Xiaoya Wu,
Yuanzhi Xu,
Anke Zhang,
Anke Zhang

Affiliations

Junnan Wu: Department of Emergency, Dongyang Hospital Affiliated to Wenzhou Medical University, Jinhua, China
Chaoyou Fang: Department of Neurosurgery, Shanghai General Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
Lingying Wei: Department of Emergency, Dongyang Hospital Affiliated to Wenzhou Medical University, Jinhua, China
Yibo Liu: Department of Neurosurgery, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Shanghai, China
Yibo Liu: Clinical Research Center for Neurological Diseases of Zhejiang Province, Hangzhou, China
Houshi Xu: Department of Neurosurgery, Shanghai General Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
Xiaoyu Wang: Department of Neurosurgery, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Shanghai, China
Xiaoyu Wang: Clinical Research Center for Neurological Diseases of Zhejiang Province, Hangzhou, China
Ling Yuan: Department of Neurosurgery, Shanghai General Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
Xiaoya Wu: Department of Emergency, Dongyang Hospital Affiliated to Wenzhou Medical University, Jinhua, China
Yuanzhi Xu: Department of Neurosurgery, Huashan Hospital, School of Medicine, Fudan University, Shanghai, China
Anke Zhang: Department of Neurosurgery, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Shanghai, China
Anke Zhang: Clinical Research Center for Neurological Diseases of Zhejiang Province, Hangzhou, China

DOI: https://doi.org/10.3389/fsurg.2022.971066
Journal volume & issue: Vol. 9

Abstract

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Chronic internal carotid artery occlusion (CICAO) has high prevalence and incidence rates, and patients with CICAO can be completely asymptomatic, experience a devastating stroke or die. It is important to note that CICAO causes cerebrovascular accidents. Currently, the external carotid-internal carotid (EC-IC) bypass technique is used to treat CICAO. However, many clinical studies showed that EC-IC bypass was not beneficial for many patients with CICAO. Meanwhile, endovascular intervention treatment options for CICAO are evolving, and an increasing number of patients are undergoing endovascular intervention therapy. Accordingly, a review comparing both techniques is warranted. For this review, we searched PubMed and collected relevant case study reports comparing endovascular interventional therapy and internal and external cervical bypass surgeries to provide strategies for clinical treatment.

Published in Frontiers in Surgery

ISSN: 2296-875X (Online)
Publisher: Frontiers Media S.A.
Country of publisher: Switzerland
LCC subjects: Medicine: Surgery
Website: https://www.frontiersin.org/journals/surgery

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Abstract

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