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...

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Bibliographic Details
Published inJournal of the Korean Society of Radiology Vol. 81; no. 3; pp. 739 - 745
Main Authors Kim, Hae-Jung, Rho, Myung-Ho
Format Journal Article
LanguageEnglish
Published The Korean Society of Radiology 01.05.2020
대한영상의학회
Subjects
atherosclerotic
carotid arteries; angioplasty
cerebral embolism
embolic protection device
Neuroradiology & Neurointervention
plaque
stents
방사선과학
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Summary: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.
Bibliography:https://doi.org/10.3348/jksr.2020.81.3.739
ISSN:1738-2637
2288-2928
2951-0805
DOI:10.3348/jksr.2020.81.3.739