Prevention of Stroke with Closed-Cell Stent-in-Stent for Carotid Artery Stenosis Due to Stent Fracture

OBJECTIVE: Stent fracture is a risk factor for stroke. It has not been fully elucidated whether stent-in-stent procedures can effectively treat stent fractures. CASE PRESENTATION: An 80-year-old man underwent carotid artery stenting (CAS) with an open-cell stent to treat asymptomatic right internal...

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Detalles Bibliográficos
Autores principales: Fuse, Yutaro, Tajima, Hayato, Nakamura, Shigekazu, Kurimoto, Futoshi, Watanabe, Kazuhiko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society for Neuroendovascular Therapy 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370623/
https://www.ncbi.nlm.nih.gov/pubmed/37502023
http://dx.doi.org/10.5797/jnet.cr.2020-0213
Descripción
Sumario:OBJECTIVE: Stent fracture is a risk factor for stroke. It has not been fully elucidated whether stent-in-stent procedures can effectively treat stent fractures. CASE PRESENTATION: An 80-year-old man underwent carotid artery stenting (CAS) with an open-cell stent to treat asymptomatic right internal carotid artery (ICA) stenosis. Type III stent fracture occurred during CAS. Six months later, in-stent stenosis progressed on DSA. Repeat CAS with a closed-cell stent was performed. CT showed expansion of the narrowed lumen. The patient remained stroke-free and carotid artery restenosis did not occur for 3 years postoperatively. CONCLUSION: Repeat CAS with a closed-cell stent is a viable treatment option for stent fracture.

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