Visualization of the extent and components of internal carotid artery chronic total occlusion (CTO) may play an important role in deciding whether patients can undergo the endovascular intervention successfully or not. This study sought to investigate the characteristics of internal carotid artery CTO for successful endovascular intervention by 3D MR Vessel Wall Imaging. We found that patients with lower extent of occlusion and IPH at the proximal occlusion site had a higher success rate of recanalization. The results suggest 3D MR vessel wall imaging might be useful of patient selection for more possibly successful endovascular intervention.
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