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A rare case of bilateral internal carotid artery and right vertebral artery occlusion

Year: 2024

Type: article

Abstract: Bilateral internal carotid artery (ICA) occlusion is a rare type of cerebrovascular disease that carries a high risk for recurrent transient ischemic attacks. We report a case involving a 67-year-old man presenting with bilateral internal carotid artery (ICA) occlusion, along with an additional occlusion in the right vertebral artery. Imaging revealed adequate collateral flow through the posterior circulation and external carotid artery (ECA) collaterals. He was treated with antiplatelet therapy. During follow up, neurologic examination showed no focal deficits. While bilateral ICA occlusion can have devastating clinical outcomes, it may be a relatively benign condition if there is sufficient collateral circulation.

Source: Annals of Vascular Surgery - Brief Reports and Innovations

DOI: 10.1016/j.avsurg.2024.100332

Authors: Eleni Georgiadi, Georgios S. Sfyroeras, Georgia Papavassileiou, John D. Kakisis

Institutions: National and Kapodistrian University of Athens, University General Hospital Attikon

Language: English

Topic: Cerebrovascular and Carotid Artery Diseases

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,500