- Relevant clinical history and physical
exam:
The patient was 67 years old man. He was admitted to dizziness with transient
ischemic attack. Now, there are no neurologic sequelae. He was evaluated
with MR angiography with enhancement at another hospital. The MR angiography
showed total occlusion of Lt.ICA with significant stenosis in Rt. ICA.
And there were significant stenosis in both vertebral artery ostium. The
US, carotid Doppler study at out hospital showed also, calcified plaque
in Rt. carotid bulb and proximal ICA with about 75% stenosis and occlusion
of left ICA. He received two times of PTA at Rt.SFA & EIA / Lf.SFA
& CIA. He also received PCI at mLAD at several years ago.
- Relevant test results prior to catheterization:
The brain MR with angiography showed the severe stenosis Rt. ICA and total
occlusion of Lt.ICA.
- Relevant angiography findings:
The pre-intervention angiography showed severe restenosis of Rt. ICA with
total occlusion of Lt. ICA. Also, There was significant stenosis in both
vertebral artery ostium. (Figure
1, Figure
2, Figure
3, Figure
4, Figure
5) |
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