Delayed Cerebral Infarction due to Stent Folding Deformation Following Carotid Artery Stenting.
10.3348/kjr.2014.15.6.858
- Author:
Kwon Duk SEO
1
;
Kyung Yul LEE
;
Byung Moon KIM
;
Sang Hyun SUH
Author Information
1. Department of Neurology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul 135-720, Korea.
- Publication Type:Case Reports
- Keywords:
Carotid artery stenting;
Stent deformation;
Complication;
Stroke
- MeSH:
Aged;
Anticoagulants/therapeutic use;
Carotid Arteries/radiography;
Cerebral Infarction/*diagnosis/therapy;
Humans;
Male;
Platelet Aggregation Inhibitors/therapeutic use;
Stents/*adverse effects;
Thrombosis/drug therapy/*etiology;
Ticlopidine/analogs & derivatives/therapeutic use;
Tomography, X-Ray Computed
- From:Korean Journal of Radiology
2014;15(6):858-861
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a case of delayed cerebral infarction due to stent longitudinal folding deformation following carotid artery stenting using a self-expandable stent with an open-cell design. The stented segment of the left common carotid artery was divided into two different lumens by this folding deformation, and the separated lumens became restricted with in-stent thrombosis. Although no established method of managing this rare complication exists, a conservative approach was taken with administration of anticoagulant and dual antiplatelet therapy. No neurological symptoms were observed during several months of clinical follow-up after discharge.
