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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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
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author Fuse, Yutaro
Tajima, Hayato
Nakamura, Shigekazu
Kurimoto, Futoshi
Watanabe, Kazuhiko
author_facet Fuse, Yutaro
Tajima, Hayato
Nakamura, Shigekazu
Kurimoto, Futoshi
Watanabe, Kazuhiko
author_sort Fuse, Yutaro
collection PubMed
description 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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spelling pubmed-103706232023-07-27 Prevention of Stroke with Closed-Cell Stent-in-Stent for Carotid Artery Stenosis Due to Stent Fracture Fuse, Yutaro Tajima, Hayato Nakamura, Shigekazu Kurimoto, Futoshi Watanabe, Kazuhiko J Neuroendovasc Ther Case Report 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. The Japanese Society for Neuroendovascular Therapy 2021-05-13 2022 /pmc/articles/PMC10370623/ /pubmed/37502023 http://dx.doi.org/10.5797/jnet.cr.2020-0213 Text en ©2022 The Japanese Society for Neuroendovascular Therapy https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives International License (https://creativecommons.org/licenses/by-nc-nd/4.0/)
spellingShingle Case Report
Fuse, Yutaro
Tajima, Hayato
Nakamura, Shigekazu
Kurimoto, Futoshi
Watanabe, Kazuhiko
Prevention of Stroke with Closed-Cell Stent-in-Stent for Carotid Artery Stenosis Due to Stent Fracture
title Prevention of Stroke with Closed-Cell Stent-in-Stent for Carotid Artery Stenosis Due to Stent Fracture
title_full Prevention of Stroke with Closed-Cell Stent-in-Stent for Carotid Artery Stenosis Due to Stent Fracture
title_fullStr Prevention of Stroke with Closed-Cell Stent-in-Stent for Carotid Artery Stenosis Due to Stent Fracture
title_full_unstemmed Prevention of Stroke with Closed-Cell Stent-in-Stent for Carotid Artery Stenosis Due to Stent Fracture
title_short Prevention of Stroke with Closed-Cell Stent-in-Stent for Carotid Artery Stenosis Due to Stent Fracture
title_sort prevention of stroke with closed-cell stent-in-stent for carotid artery stenosis due to stent fracture
topic Case Report
url 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
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