This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by O'Leary, D. H. Articles by Potter, J. E. Search for Related Content PubMed PubMed Citation Articles by O'Leary, D. H. Articles by Potter, J. E.

Stroke, Vol 20, 1168-1173, Copyright © 1989 by American Heart Association

ARTICLES

Atheromatous pseudo-occlusion of the internal carotid artery

DH O'Leary, H Mattle and JE Potter
Department of Radiology, New England Deaconess Hospital, Boston, Massachusetts.

Between 1978 and 1988, the diagnosis of atheromatous pseudo-occlusion of the internal carotid artery was made in 34 patients by angiography. Results of noninvasive tests were abnormal in 33 of the 34 patients examined. Twenty-five patients had carotid endarterectomy, and the other nine were treated medically. Four of the 34 patients (12%) had significant complications, two related to angiography and two to surgery. Twenty-three of the 25 operated patients were seen in long- term follow-up; 19 (83%) were found to have a patent operated vessel by noninvasive testing. None of the 23 operated patients followed up suffered recurrent neurologic deficits following surgery; two had distant contralateral strokes. Three of the nine patients treated medically (33%) experienced delayed ipsilateral stroke. This study shows that the risks associated with angiography and surgery for atheromatous pseudo-occlusion are significant and are higher than previously reported.

This article has been cited by other articles:

				M. H. Lev, J. M. Romero, D. N.F. Goodman, R. Bagga, H. Y. K. Kim, N. A. Clerk, R. H. Ackerman, and R. G. Gonzalez Total Occlusion versus Hairline Residual Lumen of the Internal Carotid Arteries: Accuracy of Single Section Helical CT Angiography AJNR Am. J. Neuroradiol., June 1, 2003; 24(6): 1123 - 1129. [Abstract] [Full Text] [PDF]

				J. M. Romero, M. H. Lev, S.-T. Chan, M. M. Connelly, R. C. Curiel, A. E. Jackson, R. G. Gonzalez, and R. H. Ackerman US of Neurovascular Occlusive Disease: Interpretive Pearls and Pitfalls RadioGraphics, September 1, 2002; 22(5): 1165 - 1176. [Abstract] [Full Text] [PDF]

				G. Furst, A. Saleh, F. Wenserski, J. Malms, M. Cohnen, A. Aulich, T. Neumann-Haefelin, M. Schroeter, H. Steinmetz, and M. Sitzer Reliability and Validity of Noninvasive Imaging of Internal Carotid Artery Pseudo-Occlusion Stroke, July 1, 1999; 30(7): 1444 - 1449. [Abstract] [Full Text] [PDF]

				M. A. Martin and T. R. Marotta Vasa Vasorum: Another Cause of the Carotid String Sign AJNR Am. J. Neuroradiol., February 1, 1999; 20(2): 259 - 262. [Abstract] [Full Text]

				P. B. Dimakakos Carotid Internal Pseudo-occlusion: What Should We Do? Vascular and Endovascular Surgery, January 1, 1999; 33(1): 123 - 124. [PDF]

				P. J. Martin, M. E. Gaunt, S. Nydahl, and D. A. Ratliff Diagnosis of Internal Carotid Pseudo-occlusion by Use of Color-Coded Duplex Scanning: A Case Report Vascular and Endovascular Surgery, July 1, 1995; 29(4): 303 - 307. [Abstract] [PDF]