Captured Macro-embolus of Fractured Atheromatous Plaque by the Embolic Protection Device during Carotid Stent Assisted Angioplasty.
10.5469/neuroint.2013.8.1.52
- Author:
Mun Chul KIM
1
;
Shelby BENNETT
;
Richard FARB
;
Sydney CROUL
;
Seon Kyu LEE
Author Information
1. Department of Radiology, The University of Chicago, Chicago, IL, USA. sklee@uchicago.edu
- Publication Type:Case Report
- Keywords:
Carotid stenting;
Embolus protection device;
Atheromatous plaque
- MeSH:
Angioplasty;
Carotid Arteries;
Carotid Stenosis;
Embolic Protection Devices;
Embolism;
Humans;
Infarction;
Middle Cerebral Artery;
Stents
- From:Neurointervention
2013;8(1):52-57
- CountryRepublic of Korea
- Language:English
-
Abstract:
The authors present a case in which macro-embolus from the ruptured atheromatous plaque developed during carotid artery stenting (CAS). A 63-year-old man who had suffered a left middle cerebral artery territory infarction had significant proximal left internal carotid artery stenosis required CAS procedure. Immediate after stent deployment, the patient showed abrupt neurological deterioration with 12 x 3 mm sized macro-embolus which was caught by the embolus protection device (EPD). Retrieval of the macro-embolus was performed safely and the patient recovered to pre-procedure status. Macro-embolus can be resulted during the CAS. The EPD can capture the macro-embolus and safe removal is technically feasible.
