Key result
Emergency CAS with tandem balloon protection achieves procedural success in acute thrombotic stroke.
Case Report (n=1)
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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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Imai et al. (2007) conducted a case report in Stenotic internal carotid artery lesion with intraluminal thrombus and fluctuating stroke (n=1). Emergency carotid artery stenting with tandem balloon protection (proximal balloon blockade and PercuSurge GuardWire distal protection) was evaluated on Procedural success of emergency carotid artery stenting. Emergency carotid artery stenting with tandem balloon protection successfully treated a 77-year-old man (n=1) with fluctuating stroke and stenotic internal carotid artery lesion with thrombus.
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