ArticleNeuroradiology2019
Hybrid operation to revascularize long-segment occluded internal carotid artery prevent further ischemic events.
Article in Neuroradiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Surgical therapy for chronic internal carotid artery occlusion: a systematic review and meta-analysis.Updates in surgery · 2021Pooled it
- Mid- to long-term outcomes of different treatment strategies for chronic carotid artery occlusion: a single-center cohort study.Neurosurgical review · 2026Article
- Case Report: Balloon-assisted catheter advancement for antegrade recanalization of non-acute carotid artery occlusions.Frontiers in surgery · 2026Article
- Hybrid Surgery for symptomatic chronic internal carotid artery occlusion: a single-center experience.Acta neurochirurgica · 2024Article
- Significance of atherosclerotic plaque location in recanalizing non-acute long-segment occlusion of the internal carotid artery.Scientific reports · 2024Article
- Recanalization of chronic long-segment occlusion of the internal carotid artery with endovascular and hybrid surgery.Scientific reports · 2023Article
- Delayed revascularization in acute ischemic stroke patients.Frontiers in pharmacology · 2023Review
- Hybrid surgery recanalization for high-level chronic internal carotid artery occlusion.Frontiers in neurology · 2023Article
- Spotlight on clinical strategies of Chronic Internal Carotid Artery Occlusion: Endovascular interventions and external-intracarotid bypasses compared to conservative treatment.Frontiers in surgery · 2022Review
- Evolution of the stroke paradigm: A review of delayed recanalization.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2021Review
- Recanalization of the Chronically Occluded Internal Carotid Artery: Review of the Literature.World neurosurgery: X · 2020Review
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
purposeThe effects and complications of hybrid procedure (combined carotid endarterectomy and carotid stenting) to revascularize chronic long-segment occlusion of internal carotid artery (ICA) are currently unknown and the purpose of this study.
methodsSixty-five patients with long-segment occlusion of ICA were prospectively enrolled and divided into two groups of revascularization with hybrid operation (n = 30) and medication group (n = 35), and clinical and angiographic data were analyzed.
resultsThe duration from symptom onset to revascularization ranged 17-120 days (mean 40.5 ± 5.0) in the hybrid operation, with a success revascularization rate of 100%. All patients had thrombi extracted with the clot length ranging 5-8 cm (mean 6.3 ± 0.9). The thrombolysis in cerebral infarction grade (TICI) was significantly (P < 0.0001) greater immediately after (median 2,) than before recanalization (0). Periprocedural complications included recurrent laryngeal nerve injury in one patient and intracranial hemorrhage in another (6.7%), but no severe neurological deficits occurred. The symptoms were significantly (P < 0.0001) improved after compared with before operation, with the modified Rankin score of 2.5 ± 0.6 at 3 months postoperation which was significantly (P < 0.0001) improved compared with before revascularization (3.4 ± 0.6). Follow-up angiography revealed patent ICA in all patients with hybrid operation. In the medication alone group, no significant (P > 0.05) improvement was observed with the mRS score of 3.5 ± 0.8 at admission and 3.4 ± 0.7 at 3 months, which was significantly (P < 0.001) greater than in the hybrid operation.
conclusionHybrid operation may be safe and effective in revascularizing long-segment occlusion of internal carotid artery for prevention of further ischemic events.
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