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CC BY-NC-ND 4.0 · Asian J Neurosurg 2025; 20(01): 179-182
DOI: 10.1055/s-0044-1792161
Case Report

Symptomatic Severe Stenosis of Cavernous Internal Carotid Artery Stenting: A Case Report with Short Literature Review

Authors

  • Mohan Karki

    1   Department of Neuro-Interventional Surgery, Max Super Speciality Hospital, Vaishali, Ghaziabad, Uttar Pradesh, India

  • Girish Rajpal

    1   Department of Neuro-Interventional Surgery, Max Super Speciality Hospital, Vaishali, Ghaziabad, Uttar Pradesh, India

Funding None.
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Abstract

Intracranial internal carotid artery (ICA) stenosis is rarely reported as compared with extracranial ICA stenosis. Atherosclerosis is one of the major beginnings of stenosis of vasculatures, which may lead to ischemic stroke causing morbidity and mortality. We report the case of a 60 -year-old man presented to us with complaints of multiple episodes of dizziness, mild headache, and transient left arm weakness for 3 months and had history of smoking, hypercholesterolemia (high level of low-density lipoprotein level = 220 mg/dL), diabetes mellitus, and hypertension under medication. No neurological deficits were observed at the time of admission. Patient underwent angioplasty and stenting with drug-eluting balloon-expandable coronary stent. Patient was discharged well at the 3rd day of procedure. No recurrence of stroke and restenosis were noted till 3 months of follow-up period. Stenting following angioplasty for treatment of symptomatic severe cavernous ICA stenosis with everolimus-eluting coronary balloon-expandable stent, Xience Xpedition, is safe and effective.

Keywords

cavernous internal carotid artery - severe stenosis - angioplasty - everolimus-eluting coronary stent - outcome

Authors' Contributions

M.K. conceived and designed the study, collected data, and wrote and drafted the manuscript. G.R. was responsible for editing and providing technical feedback with the design and analyses.


Ethical Approval

This is a retrospective study, so informed consent was taken from the institute and all involved participants included in this study.




Publication History

Article published online:
05 November 2024

© 2024. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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