Choroidal Ischemia after Carotid Artery Stenting for Cerebral Infarction

Successful carotid artery stenting in patients with aortic dissection

10.22514/sv.2020.16.0089 ◽

2020 ◽

Keyword(s):

Ischemic Stroke ◽

Carotid Artery ◽

Aortic Dissection ◽

Cerebral Infarction ◽

Acute Ischemic Stroke ◽

Aortic Arch ◽

Common Carotid Artery ◽

Carotid Artery Stenting ◽

Acute Aortic Dissection ◽

Optimal Timing

Background: There are no guidelines for the optimal timing of surgery (emergency vs. delayed) for ascending aortic dissection with acute ischemic stroke. We retrospectively compared the prognoses and radiological and clinical findings for concomitant aortic dissection and ischemic stroke in a series of case reports. Case presentation: Three patients presented with left hemiparesis. Patient 1 underwent surgery for acute aortic dissection without treatment for acute ischemic stroke. In Patient 2, emergency stenting could not be performed due to cardiac tamponade and hypotension. Therefore, emergency acute aortic dissection surgery was performed. Patient 3 underwent emergency right common carotid artery stenting followed by surgery for acute aortic dissection. Brain perfusion computed tomography angiography (CTA) was performed to diagnose severe stenosis of the right common carotid artery or occlusion concomitant with acute aortic dissection involving the aortic arch with a cerebral perfusion mismatch in all the patients. Patient 3 had postoperative local cerebral infarction, whereas patients 1 and 2 (without stent insertion) had extensive postoperative cerebral infarction. Conclusion: Patient 3 showed a better prognosis than patients without stent treatment. We suggest that perfusion CTA of the aortic arch in suspected acute ischemic stroke can facilitate early diagnosis and prompt treatment in similar patients.

Download Full-text

Carotid Artery Stenting for the Treatment of Fatal Acute Cerebral Infarction Associated with Aortic Dissection

Neurology India ◽

10.4103/0028-3886.279679 ◽

2020 ◽

Vol 68 (1) ◽

pp. 185

Author(s):

Zhen-Hai Zhang ◽

Yuan-Yuan Dang ◽

Chun-Sen Shen

Keyword(s):

Carotid Artery ◽

Aortic Dissection ◽

Cerebral Infarction ◽

Carotid Artery Stenting ◽

Acute Cerebral Infarction

Download Full-text

Mechanical thrombectomy and carotid artery stenting for stenosis of the internal carotid artery with free-floating thrombosis: illustrative case

Journal of Neurosurgery: Case Lessons ◽

10.3171/case21338 ◽

2021 ◽

Vol 2 (9) ◽

Author(s):

Ryuta Tomoyose ◽

Tomoyuki Tsumoto ◽

Kenta Hara ◽

Yuichi Miyazaki ◽

So Tokunaga ◽

...

Keyword(s):

Magnetic Resonance ◽

Carotid Artery ◽

Internal Carotid Artery ◽

Cerebral Infarction ◽

Carotid Artery Stenting ◽

Internal Carotid ◽

Mechanical Thrombectomy ◽

Acute Cerebral Infarction ◽

Reversal Flow ◽

Ica Stenosis

BACKGROUND The authors report a case in which mechanical thrombectomy and carotid artery stenting (CAS) were performed for acute cerebral infarction with free-floating thrombosis (FFT) in left internal carotid artery (ICA) stenosis. Good results were obtained. OBSERVATIONS A 63-year-old man developed sudden disturbance of consciousness and right hemiplegia. He was transported to the authors’ hospital by an emergency vehicle. Head magnetic resonance imaging showed acute cerebral infarction in the left middle cerebral artery region, and magnetic resonance angiography showed poor vascular flow beyond the left ICA. Emergency angiography revealed severe stenosis at the origin of the left ICA and a free-floating thrombus attached to the stenosis and extending to the peripheral side. Percutaneous transluminal angioplasty (PTA) was performed on the stenosis with proximal protection, the thrombus was aspirated under reversal flow, and CAS was performed without exacerbation of clinical symptoms. LESSONS PTA, thrombus aspiration, and CAS under reversal flow may be effective treatments for FFT caused by ICA stenosis.

Download Full-text

Assessing short-term outcomes of carotid artery stenting at Hue Central Hospital

Journal of Clinical Medicine- Hue Central Hospital ◽

10.38103/jcmhch.2020.62.2 ◽

2020 ◽

Author(s):

Hai Phu Hoang

Keyword(s):

Carotid Artery ◽

Cerebral Infarction ◽

Cerebral Hemorrhage ◽

Carotid Artery Stenting ◽

Carotid Stenting ◽

Medical Problem ◽

Internal Carotid Artery Stenosis ◽

Central Hospital ◽

Short Term ◽

Bilateral Carotid

ASSESSING SHORT-TERM OUTCOMES OF CAROTID ARTERY STENTING AT HUE CENTRAL HOSPITAL ABSTRACT Stroke is an important medical problem in all countries of the world. Preventing stroke is a priority goal of community health programs and each individual. Carotid stenting is a less invasive alternative in comparison to surgery. This study was conducted on 19 patients with internal carotid artery stenosis, in which the stent was placed to recreate the flow, at Hue Central Hospital from January 2018 to January 2020. Results: Age was 61.1 ± 16.1 years, history stroke was 57.9%, hypertension was 78.8%, dyslipidemia was 68.4%, smoking was 57.9%, bilateral carotid lesion was 57.9%, the patients whose stenosis was ≥70% and ≥ 90% accounted for 100% and 47.4% respectively, the success of the procedure was 100%, blood flow to the brain improved (36.7%). There was no case with dangerous events such as embolism, infarction or cerebral hemorrhage. After 6 months, clinical outcomes and the prognosis improved according to NIHSS and mRS. No death or complication of cerebral infarction, cerebral hemorrhage was reported. Key words: carotid artery, stent, cerebral infarction, cerebral hemorrhage

Download Full-text