Document Detail


Carotid stent removal of symptomatic plaque protrusion after carotid angioplasty stenting.
MedLine Citation:
PMID:  20554651     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We treated two patients with asymptomatic high grade internal carotid artery stenosis, by carotid artery stenting (CAS) with embolus protection filters 75% and 70%, respectively (North American Symptomatic Carotid Endarterectomy criteria). The immediate cranial and carotid angiogram showed a good result with regular patency of carotid and cerebral vessels. In both cases, the CAS procedure was complicated with symptomatic embolism, in one case 6 h after CAS and the other one occurring after seven days. The duplex scan (DS) control revealed the presence of plaque protrusion intra-stent in both cases. An early treatment with stent removal and carotid surgery was performed <24 h after the presenting symptoms (in one case a standard endarterectomy in the other and a carotid bypass was performed). Both patients were discharged without neurological deficit. At neurological follow-up at 30 days the patients were in good general condition without neurological symptoms or deficit and the DS follow-up at 30 days and six to 12 months show the patency of carotid vessels. These two cases demonstrate that plaque protrusion is a possible complication of CAS, where symptoms which may occur either immediately or later and can be managed successfully with urgent surgical intervention of carotid stent removal.
Authors:
Emanuele Ferrero; Michelangelo Ferri; Andrea Viazzo; Franco Nessi
Publication Detail:
Type:  Case Reports; Journal Article; Video-Audio Media     Date:  2010-06-16
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  11     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-19     Completed Date:  2010-12-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  254-6     Citation Subset:  IM    
Affiliation:
Vascular and Endovascular Surgery Unit, Mauriziano Umberto I Hospital, Largo Turati 62, 10128 Turin, Italy. emaferrero@libero.it
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MeSH Terms
Descriptor/Qualifier:
Aged
Angioplasty / adverse effects*,  instrumentation
Blood Vessel Prosthesis Implantation
Carotid Stenosis / diagnosis,  physiopathology,  therapy*
Cerebral Angiography
Device Removal
Embolic Protection Devices
Endarterectomy, Carotid
Female
Humans
Intracranial Embolism / diagnosis,  etiology,  surgery*
Ischemic Attack, Transient / etiology
Magnetic Resonance Angiography
Male
Severity of Illness Index
Stents / adverse effects*
Time Factors
Treatment Outcome
Ultrasonography, Doppler, Duplex
Vascular Patency

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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