Staged Angioplasty and Stenting for Severe Cervical Internal Carotid Artery Stenosis in the Setting of Acute Ischemic Stroke

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Objective: We report two patients who underwent two-stage angioplasty and carotid artery stenting (CAS) for marked stenosis of the cervical internal carotid artery (ICA) related to acute intracranial artery occlusion.

Case Presentations: In Case 1, thrombectomy and angioplasty for cervical ICA occlusion were performed. Although the M2 region of the middle cerebral artery was occluded, thrombectomy led to recanalization. Later, CAS was conducted. In Case 2, angioplasty for stenosis at the ICA origin was performed, leading to recanalization of the main intracranial artery. Later, CAS was conducted.

Conclusion: Staged angioplasty may be selected as an option for stenosis of the cervical ICA with acute intracranial artery occlusion.