Emergency stent placement for symptomatic acute carotid artery occlusion after endarterectomy - Case report

被引:9
作者
Kim, SH
Qureshi, AI
Levy, EI
Hanel, RA
Siddiqui, AM
Hopkins, LN
机构
[1] Neurosurg Endovasc & Spine Ctr, Austin, TX 78731 USA
[2] Univ Buffalo State Univ New York, Sch Med & Biomed Sci, Dept Neurosurg, Buffalo, NY 14222 USA
[3] Univ Buffalo State Univ New York, Sch Med & Biomed Sci, Toshiba Stroke Res Ctr, Buffalo, NY 14222 USA
[4] Univ Med & Dent New Jersey, Dept Neurol & Neurosurg, Newark, NJ 07103 USA
关键词
carotid artery occlusion; stent; endarterectomy; stroke;
D O I
10.3171/jns.2004.101.1.0151
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The authors report a case of emergency carotid artery (CA) stent placement for a symptomatic acute CA occlusion following carotid endarterectomy (CEA). This 43-year-old man underwent a right-sided CEA for an asymptomatic 80% CA stenosis detected using duplex ultrasound testing. The patient experienced hypotension and possibly a myocardial infarction intraoperatively and a left hemiplegia immediately postoperatively. He was referred to the authors' institution for consideration of emergency coronary intervention and evaluation of stroke. A computerized tomography scan of the head demonstrated subtle early ischemic changes in the fight posterior parietal region. Cerebral angiography revealed occlusion of the right common CA (CCA) at the CA bifurcation. Two coronary stents (Magic Wall; Boston Scientific Scimed, Maple Grove, MN) were placed in tandem in the right CCA and internal CA (ICA), overlapping at the proximal cervical ICA. Complete recanalization of the CA was achieved, and the patient made a clinically significant recovery. Diagnostic angiography can provide important information about CA and intracranial circulation that will aid in the evaluation of postoperative stroke after CEA. Stent placement should be considered as an alternative method of treatment for acute CA occlusion or dissection following CEA.
引用
收藏
页码:151 / 153
页数:3
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