Percutaneous Transluminal Angioplasty with Palmaz-Schatz Stent in the Carotid Artery Stenosis.
10.4070/kcj.1996.26.4.921
- Author:
Sang Sig CHEONG
;
Seong Wook PARK
;
Seung Jung PARK
;
Dae Chul SUH
;
Myoung Chong LEE
- Publication Type:Case Report
- Keywords:
Carotid artey stenosis;
Stent
- MeSH:
Angioplasty*;
Carotid Arteries*;
Carotid Artery, Internal;
Carotid Stenosis*;
Cerebral Infarction;
Constriction, Pathologic;
Embolism;
Endarterectomy, Carotid;
Humans;
Retinaldehyde;
Stents*;
Stroke;
Visual Acuity
- From:Korean Circulation Journal
1996;26(4):921-925
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Carotid endarterectomy is superior to medical treatment in preventing secondary stroke in patients with symptomatic high grade carotid stenosis. Transluminal angioplasty is a promising procedure as an alternative treatment for these patients. We report two cases of carotid angioplasty with Palmaz-Schatz stent in patients with carotid artery occlusive disease. One patient presented with decreased right visual acuity because of retinal arterial embolism. The angiogram demonstrated a discrete tight stenosis of right internal carotid artery carotid stenting with Palmaz-Schatz coronary stent was performed without any significant complications. The other patient presented with recurrent episodes of cerebral infarction, for which he had undergone left carotid erdarterectomy 3-years ago. The carotid angiogram demonstrated tight stenoses of both internal carotid arteries. Carotid artery stenting was performed at left and right internal carotid arteries without any complications. We suggest that stenting may be an effective and safe therapeutic alternative to surgical treatment in some selected patients with carotid artery occlusive disease.
