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March 31, 2026JACC Case Reports0 citationsOpen Access

Carotid Stenting in a Patient With Syncope and Left Ventricular Assist Device Placement

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OSOmar A. SheikhUniversity Hospitals of ClevelandGWGordon X. WongUniversity Hospitals of ClevelandKGKatherine M. GillUniversity Hospitals of Cleveland

Key Points

  • To explore the safety and feasibility of carotid artery stenting in patients with significant carotid artery stenosis and left ventricular assist devices (LVADs).
  • Case report of a patient with significant carotid stenosis and LVAD
  • Focused on the hemodynamic considerations of carotid revascularization
  • Utilized carotid artery stenting as an intervention
  • Carotid artery stenting was performed safely in the setting of LVAD
  • Demonstrated effective management of complex hemodynamics
  • Improved clinical outcomes for the patient with syncope

Abstract

Patients with concomitant clinically significant carotid artery stenosis and durable LVADs have complex hemodynamics that require a nuanced approach toward carotid artery revascularization. We demonstrate how carotid artery stenting can be performed safely in the setting of LVAD.

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Cite This Study

Sheikh et al. (2026) studied this question.

synapsesocial.com/papers/69cb645fe6a8c024954b89a6https://doi.org/10.1016/j.jaccas.2026.107721
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