Document Detail

Idiopathic carotid and coronary vasospasm: A case treated by carotid artery stenting.
MedLine Citation:
PMID:  25422789     Owner:  NLM     Status:  Publisher    
BACKGROUND: We previously reported a case of cerebral infarction complicated by myocardial infarction. The pathogenesis of both infarctions was thought to be vasospasm; thus, we named this condition 'idiopathic carotid and coronary vasospasm'. Various medical treatments for the prevention of carotid vasospasm have been unsuccessfully tried. Thus, other effective treatments should be established for patients who frequently suffer cerebral ischemic attacks.
CASE DESCRIPTION: We treated the present case of 'idiopathic carotid and coronary vasospasm' by carotid artery stenting (CAS). The first stenting, of the carotid bifurcation, failed to prevent internal carotid artery (ICA) vasospasm. However, after an additional stent placement to the prepetrous portion, ischemic attacks were dramatically reduced.
CONCLUSION: The effect of CAS for extracranial ICA vasospasm was dramatic and control of the spasm at the prepetrous portion seems to be essential. Further validation of the effectiveness and safety of CAS for ICA vasospasm will be necessary.
Haruko Yoshimoto; Keizo Asakuno; Seigo Matsuo; Atsushi Ishida; Hideki Shiramizu; Kaku Niimura; Miki Yuzawa; Yasumichi Yamagishi; Takehiko Munakata; Takashi Moriyama; Tomokatsu Hori
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-10-30
Journal Detail:
Title:  Surgical neurology international     Volume:  5     ISSN:  2229-5097     ISO Abbreviation:  Surg Neurol Int     Publication Date:  2014  
Date Detail:
Created Date:  2014-11-25     Completed Date:  -     Revised Date:  2014-11-26    
Medline Journal Info:
Nlm Unique ID:  101535836     Medline TA:  Surg Neurol Int     Country:  -    
Other Details:
Languages:  ENG     Pagination:  S461-S464     Citation Subset:  -    
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