Pseudo-no-Reflow Phenomenon in Carotid Artery Stenting using FilterWire EX: Successful Recovery by Aspiration Thrombectomy.
10.3346/jkms.2009.24.5.967
- Author:
Seung Hwan HAN
1
;
Woong Chol KANG
;
Tae Hoon AHN
;
Eak Kyun SHIN
Author Information
1. Division of Cardiology, Heart Center, Gil Hospital Gachon University of Medicine and Science Incheon, Korea. ekshin@gilhospital.com
- Publication Type:Case Report ; Research Support, Non-U.S. Gov't
- Keywords:
Carotid Artery Stenting;
Distal Protection Device;
Pseudo-no Reflow Phenomenon;
Aspiration Thrombectomy
- MeSH:
Aged;
Blood Vessel Prosthesis Implantation;
Carotid Arteries/radiography/surgery;
Carotid Stenosis/diagnosis/radiography/*surgery;
Humans;
Male;
*No-Reflow Phenomenon;
Stents;
Thrombectomy/*instrumentation
- From:Journal of Korean Medical Science
2009;24(5):967-969
- CountryRepublic of Korea
- Language:English
-
Abstract:
Distal protection devices such as FilterWire EX have been widely used in carotid artery stenting, however, the large amount of atherothrombotic debris entrapped in the filter could reduce or stop antegrade flow. We present a case of pseudo-no-reflow phenomenon after postdilatation of the stent in a patient with asymptomatic carotid artery stenosis. After several passes using an Export Aspiration catheter, normal flow in the internal carotid artery was restored. Aspiration thrombectomy can successfully recover pseudo-no-reflow phenomenon.
