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Ostial common carotid artery occlusion and balloon-mounted stenting: Implication of embolic protection device in tandem lesion

Ostial common carotid artery (CCA) stenosis is rare, compared to extracranial internal carotid artery bifurcation lesions. In cases of a tandem lesion, the proximal lesion usually involves the extracranial internal carotid artery, and the ostial CCA is rarely implicated. A 69-year-old woman who unde...

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Autores principales: Mizowaki, Takashi, Fujita, Atsushi, Imura, Jun, Nakahara, Masahiro, Tanaka, Hirotomo, Takaishi, Yoshiyuki, Kondoh, Takeshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8326589/
https://www.ncbi.nlm.nih.gov/pubmed/34367395
http://dx.doi.org/10.1016/j.radcr.2021.06.071
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author Mizowaki, Takashi
Fujita, Atsushi
Imura, Jun
Nakahara, Masahiro
Tanaka, Hirotomo
Takaishi, Yoshiyuki
Kondoh, Takeshi
author_facet Mizowaki, Takashi
Fujita, Atsushi
Imura, Jun
Nakahara, Masahiro
Tanaka, Hirotomo
Takaishi, Yoshiyuki
Kondoh, Takeshi
author_sort Mizowaki, Takashi
collection PubMed
description Ostial common carotid artery (CCA) stenosis is rare, compared to extracranial internal carotid artery bifurcation lesions. In cases of a tandem lesion, the proximal lesion usually involves the extracranial internal carotid artery, and the ostial CCA is rarely implicated. A 69-year-old woman who underwent 3 months of antiplatelet therapy for asymptomatic, right ostial, severely calcified CCA stenosis presented with sudden onset left hemiparesis. Radiographic examination revealed an ostial CCA-intracranial artery tandem lesion. After intracranial revascularization using a clot retrieval stent, we performed the endovascular treatment with a balloon-mounted stent using an embolic protection device. This procedure may be superior to others because it is possible to achieve early intracranial revascularization and prevent distal embolism during the complete treatment of proximal lesions.
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spelling pubmed-83265892021-08-06 Ostial common carotid artery occlusion and balloon-mounted stenting: Implication of embolic protection device in tandem lesion Mizowaki, Takashi Fujita, Atsushi Imura, Jun Nakahara, Masahiro Tanaka, Hirotomo Takaishi, Yoshiyuki Kondoh, Takeshi Radiol Case Rep Case Report Ostial common carotid artery (CCA) stenosis is rare, compared to extracranial internal carotid artery bifurcation lesions. In cases of a tandem lesion, the proximal lesion usually involves the extracranial internal carotid artery, and the ostial CCA is rarely implicated. A 69-year-old woman who underwent 3 months of antiplatelet therapy for asymptomatic, right ostial, severely calcified CCA stenosis presented with sudden onset left hemiparesis. Radiographic examination revealed an ostial CCA-intracranial artery tandem lesion. After intracranial revascularization using a clot retrieval stent, we performed the endovascular treatment with a balloon-mounted stent using an embolic protection device. This procedure may be superior to others because it is possible to achieve early intracranial revascularization and prevent distal embolism during the complete treatment of proximal lesions. Elsevier 2021-07-22 /pmc/articles/PMC8326589/ /pubmed/34367395 http://dx.doi.org/10.1016/j.radcr.2021.06.071 Text en © 2021 The Authors. Published by Elsevier Inc. on behalf of University of Washington. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Mizowaki, Takashi
Fujita, Atsushi
Imura, Jun
Nakahara, Masahiro
Tanaka, Hirotomo
Takaishi, Yoshiyuki
Kondoh, Takeshi
Ostial common carotid artery occlusion and balloon-mounted stenting: Implication of embolic protection device in tandem lesion
title Ostial common carotid artery occlusion and balloon-mounted stenting: Implication of embolic protection device in tandem lesion
title_full Ostial common carotid artery occlusion and balloon-mounted stenting: Implication of embolic protection device in tandem lesion
title_fullStr Ostial common carotid artery occlusion and balloon-mounted stenting: Implication of embolic protection device in tandem lesion
title_full_unstemmed Ostial common carotid artery occlusion and balloon-mounted stenting: Implication of embolic protection device in tandem lesion
title_short Ostial common carotid artery occlusion and balloon-mounted stenting: Implication of embolic protection device in tandem lesion
title_sort ostial common carotid artery occlusion and balloon-mounted stenting: implication of embolic protection device in tandem lesion
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8326589/
https://www.ncbi.nlm.nih.gov/pubmed/34367395
http://dx.doi.org/10.1016/j.radcr.2021.06.071
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