Carotid stump syndrome: pathophysiology and endovascular treatment options

Cardiovasc Intervent Radiol. 2011 Feb:34 Suppl 2:S48-52. doi: 10.1007/s00270-010-9906-y. Epub 2010 Jun 15.

Abstract

Carotid stump syndrome is one of the recognised causes of recurrent ipsilateral cerebrovascular events after occlusion of the internal carotid artery. It is believed that microemboli arising from the stump of the occluded internal carotid artery or the ipsilateral external carotid artery can pass into the middle cerebral artery circulation as a result of patent external carotid-internal carotid anastomotic channels. Different pathophysiologic causes of this syndrome and endovascular options for treatment are discussed.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Alloys*
  • Angiography, Digital Subtraction
  • Angioplasty*
  • Carotid Artery Thrombosis / diagnosis
  • Carotid Artery Thrombosis / physiopathology*
  • Carotid Artery Thrombosis / therapy*
  • Carotid Artery, Common
  • Carotid Artery, External / physiopathology*
  • Carotid Artery, Internal / physiopathology*
  • Coated Materials, Biocompatible*
  • Equipment Design
  • Female
  • Humans
  • Intracranial Embolism / diagnosis
  • Intracranial Embolism / physiopathology*
  • Intracranial Embolism / therapy*
  • Ischemic Attack, Transient / diagnosis
  • Ischemic Attack, Transient / physiopathology*
  • Ischemic Attack, Transient / therapy*
  • Magnetic Resonance Angiography
  • Male
  • Middle Aged
  • Stents*
  • Syndrome
  • Ultrasonography, Doppler, Color

Substances

  • Alloys
  • Coated Materials, Biocompatible
  • nitinol