Imai K, Makino M, Niwa F, Takegami T, Koike H, Azuma Y, Oshima F, Oda K, Kakita K. Tandem balloon protection during emergency carotid artery stenting of a stenotic ICA lesion with intraluminal thrombus.
J Endovasc Ther 2007;
14:214-8. [PMID:
17488180 DOI:
10.1177/152660280701400214]
[Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE
To report a technique for emergency CAS of a stenotic internal carotid artery (ICA) lesion with an intraluminal thrombus, which predisposes to distal thromboembolism and could aggravate pre-existing neurological symptoms.
CASE REPORT
A 77-year-old man with fluctuating stroke underwent successful emergency CAS for an ICA stenosis with intraluminal thrombus using a tandem balloon protection technique featuring proximal balloon blockade and a PercuSurge GuardWire system for distal protection.
CONCLUSION
This experience suggests that emergency CAS with tandem balloon protection is a potential treatment for a stenotic lesion with an intraluminal thrombus in patients with fluctuating stroke.
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