Precision endovascular treatment of subacute internal carotid artery occlusion under the guidance of intravascular ultrasound:a case report and literature review
Zhao Xusheng
Li Di
Liu Jinjie
Yu Chunyu
Abstract：Internal carotid artery(ICA)occlusion is one of the main causes of ischemic stroke.Endovascular treatment is one of the main surgical methods for symptomatic non-acute ICA occlusion.However,how to optimize the surgical strategy to improve the success rate of recanalization of occluded vessels require further exploration.The authors reported a case of subacute ICA occlusion treated with endovascular treatment.During the operation,intravascular ultrasound(IVUS)was used for high-resolution and precise assessment of the lumen morphology,plaque characteristics and vessel wall structure in the occluded segment.The surgical strategy was individualized,ultimately achieving successful recanalization of the occluded vessel.Combined with literature review of the clinical characteristics of subacute ICA occlusion and the application of IVUS in this type of lesion,in order to provide reference and inspiration for further optimization of interventional surgical strategies.
Keywords：Ischemic strokeInternal carotid artery occlusionIntravascular ultrasoundEndovascular treatmentPercutaneous endovascular angioplasty
Publication Date：2025-09-18
Online Publishing Date：2025-10-28(First online date of this platform, not the publication date of the document)
Pages：5( 622-626 )