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

Stanley H. Kim, Adnan I. Qureshi, Elad I. Levy, Ricardo A. Hanel, Amir M. Siddiqui, L. Nelson Hopkins

Research output: Contribution to journalArticlepeer-review

12 Scopus citations

Abstract

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 myocordial 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 right 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.

Original languageEnglish (US)
Pages (from-to)151-153
Number of pages3
JournalJournal of neurosurgery
Volume101
Issue number1
DOIs
StatePublished - Jul 2004

Keywords

  • Carotid artery occlusion
  • Endarterectomy
  • Stent
  • Stroke

Fingerprint

Dive into the research topics of 'Emergency stent placement for symptomatic acute carotid artery occlusion after endarterectomy: Case report'. Together they form a unique fingerprint.

Cite this