Massive Cerebral Microemboli after Protected Carotid Artery Angioplasty and Stenting Using a Distal Filter Embolic Protection Device for a Vulnerable Plaque with a Lipid Rich Necrotic Core and Intraplaque Hemorrhage: A Case Report

A major concern associated with carotid artery angioplasty and stenting (CAS) is a periprocedural distal cerebral embolization. To prevent distal embolization, embolic protection devices (EPDs) have been developed. However, the risk of cerebral embolism after protected CAS in patents with a vulnerab...

Descripción completa

Detalles Bibliográficos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Radiology 2020
Materias:
Neuroradiology & Neurointervention
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9431912/
https://www.ncbi.nlm.nih.gov/pubmed/36238616
http://dx.doi.org/10.3348/jksr.2020.81.3.739
_version_ 1784780183604035584
collection PubMed
description A major concern associated with carotid artery angioplasty and stenting (CAS) is a periprocedural distal cerebral embolization. To prevent distal embolization, embolic protection devices (EPDs) have been developed. However, the risk of cerebral embolism after protected CAS in patents with a vulnerable plaque is controversial and either a silent or a symptomatic stroke can occur despite the use of EPDs. Here, we report a case of a massive cerebral microemboli after a protected CAS using a distal filter EPD for a vulnerable plaque with a lipid rich necrotic core and intraplaque hemorrhage.
format Online
Article
Text
id pubmed-9431912
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher The Korean Society of Radiology
record_format MEDLINE/PubMed
spelling pubmed-94319122022-10-12 Massive Cerebral Microemboli after Protected Carotid Artery Angioplasty and Stenting Using a Distal Filter Embolic Protection Device for a Vulnerable Plaque with a Lipid Rich Necrotic Core and Intraplaque Hemorrhage: A Case Report Taehan Yongsang Uihakhoe Chi Neuroradiology & Neurointervention A major concern associated with carotid artery angioplasty and stenting (CAS) is a periprocedural distal cerebral embolization. To prevent distal embolization, embolic protection devices (EPDs) have been developed. However, the risk of cerebral embolism after protected CAS in patents with a vulnerable plaque is controversial and either a silent or a symptomatic stroke can occur despite the use of EPDs. Here, we report a case of a massive cerebral microemboli after a protected CAS using a distal filter EPD for a vulnerable plaque with a lipid rich necrotic core and intraplaque hemorrhage. The Korean Society of Radiology 2020-05 2020-01-09 /pmc/articles/PMC9431912/ /pubmed/36238616 http://dx.doi.org/10.3348/jksr.2020.81.3.739 Text en Copyrights © 2020 The Korean Society of Radiology https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0 (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Neuroradiology & Neurointervention
Massive Cerebral Microemboli after Protected Carotid Artery Angioplasty and Stenting Using a Distal Filter Embolic Protection Device for a Vulnerable Plaque with a Lipid Rich Necrotic Core and Intraplaque Hemorrhage: A Case Report
title Massive Cerebral Microemboli after Protected Carotid Artery Angioplasty and Stenting Using a Distal Filter Embolic Protection Device for a Vulnerable Plaque with a Lipid Rich Necrotic Core and Intraplaque Hemorrhage: A Case Report
title_full Massive Cerebral Microemboli after Protected Carotid Artery Angioplasty and Stenting Using a Distal Filter Embolic Protection Device for a Vulnerable Plaque with a Lipid Rich Necrotic Core and Intraplaque Hemorrhage: A Case Report
title_fullStr Massive Cerebral Microemboli after Protected Carotid Artery Angioplasty and Stenting Using a Distal Filter Embolic Protection Device for a Vulnerable Plaque with a Lipid Rich Necrotic Core and Intraplaque Hemorrhage: A Case Report
title_full_unstemmed Massive Cerebral Microemboli after Protected Carotid Artery Angioplasty and Stenting Using a Distal Filter Embolic Protection Device for a Vulnerable Plaque with a Lipid Rich Necrotic Core and Intraplaque Hemorrhage: A Case Report
title_short Massive Cerebral Microemboli after Protected Carotid Artery Angioplasty and Stenting Using a Distal Filter Embolic Protection Device for a Vulnerable Plaque with a Lipid Rich Necrotic Core and Intraplaque Hemorrhage: A Case Report
title_sort massive cerebral microemboli after protected carotid artery angioplasty and stenting using a distal filter embolic protection device for a vulnerable plaque with a lipid rich necrotic core and intraplaque hemorrhage: a case report
topic Neuroradiology & Neurointervention
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9431912/
https://www.ncbi.nlm.nih.gov/pubmed/36238616
http://dx.doi.org/10.3348/jksr.2020.81.3.739
work_keys_str_mv AT massivecerebralmicroemboliafterprotectedcarotidarteryangioplastyandstentingusingadistalfilterembolicprotectiondeviceforavulnerableplaquewithalipidrichnecroticcoreandintraplaquehemorrhageacasereport
AT massivecerebralmicroemboliafterprotectedcarotidarteryangioplastyandstentingusingadistalfilterembolicprotectiondeviceforavulnerableplaquewithalipidrichnecroticcoreandintraplaquehemorrhageacasereport

Ejemplares similares