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Intravascular Ultrasound-Guided Thrombus Retrieval with a Multipurpose-Angled Catheter During Carotid Artery Stenting.
MedLine Citation:
PMID:  21914031     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Intravascular ultrasound (IVUS) has provided invaluable real-time information during carotid artery stenting (CAS). We present a case of IVUS-guided thrombus extraction during CAS. A 46-year-old man underwent an urgent right CAS under proximal flow reversal for embolic protection for a hemodynamically significant symptomatic near-occlusion of the internal carotid artery. IVUS was used to evaluate immediate poststenting results and identify potential thromboembolic material extruding through the tines of the stent. An intraluminal thrombus was identified with IVUS after the stent was deployed. This led to the use of a second stent in an attempt to trap the thrombus. Ultimately, the thrombus was removed with the use of a multipurpose-angled catheter under IVUS guidance. The artery reconstituted almost completely after stent placement, and the patient's condition improved significantly. IVUS identification of intraluminal thrombus allowed additional maneuvers to be performed to prevent distal embolization and postprocedure stroke. J Neuroimaging 2011;XX:1-6.
Authors:
Peter Kan; Mandy J Binning; Adnan H Siddiqui
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-9-13
Journal Detail:
Title:  Journal of neuroimaging : official journal of the American Society of Neuroimaging     Volume:  -     ISSN:  1552-6569     ISO Abbreviation:  -     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-9-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9102705     Medline TA:  J Neuroimaging     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2011 American Society of Neuroimaging.
Affiliation:
From the Department of Neurosurgery and Toshiba Stroke Research Center (PK, MJB, AHS) and Department of Radiology (AHS), School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York; Department of Neurosurgery (PK, MJB, AHS), Millard Fillmore Gates Hospital, Kaleida Health, Buffalo, NY.
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