Reconstitution of occluded internal carotid artery by vasa vasorum

CASE PRESENTATION

• 78 year-old-female with critical stenosis versus occlusion of the cervical right internal carotid artery on CTA
• Angiography revelead occlusion of the cervical, petrous, and intracavernous segments of the right ICA with reconstitution by vasa vasorum
• Angioplasty could not safely be performed due to risk of damaging vasa vasorum vessel
• Medical management only