Key result
Emergency self-expandable stent-graft achieves complete recanalization in a case of acute post-endarterectomy carotid occlusion.
Case Report (n=1)
Emergency stent-graft placement may be a viable alternative treatment for acute carotid artery occlusion or dissection following carotid endarterectomy.
May support emergency stent-graft rescue after post-CEA occlusion; hypothesis-generating and requires prospective validation before practice change.
A patient underwent a left-sided carotid endarterectomy (CEA) for an asymptomatic 80% carotid artery (CA) stenosis. There were no signs of intolerance during the carotid cross-clamping and an initially uneventful awakening was observed. However, in the third postoperative hour he experienced left amaurosis and dysarthria. An urgent MRI showed an occluded internal CA on the operated site without evidence of acute infarction. To recanalize the occluded internal CA and minimize leakage from the arteriotomy site, a self-expandable stent-graft was placed, covering the dissection and the distal atherosclerotic lesions. Complete recanalization of the left internal CA was achieved and the patient showed a dramatic improvement of his preoperative deficits. To our knowledge, this is the first case of stent-graft implantation for a symptomatic acute CA occlusion following CEA. Stent-graft placement should be considered as an alternative method of treatment for acute CA occlusion or dissection following CEA.
No takes yet. Share an insight, caveat, or question.
Ko et al. (2015) conducted a case report in Symptomatic acute carotid artery occlusion after endarterectomy (n=1). Self-expandable stent-graft placement was evaluated on Recanalization and clinical improvement. Emergency placement of a self-expandable stent-graft achieved complete recanalization and dramatic clinical improvement in a patient with acute carotid artery occlusion following endarterectomy.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: