Stent-supported angioplasty correction of symptomatic critical carotid angulation.
Carotid stent-supported angioplasty is currently under investigation in many medical centers, for use in treating extracanial cerebrovascular disease. The early results of CSSA in selected patients appear promising. While carotid endarterectomy (CEA) remains the current standard of care, we believe that a small subgroup of patients at a high risk for surgery can benefit from CSSA. This case report describes a patient with symptomatic high-grade recurrent stenosis due to critical angulation (kinking) and redundancy of the internal carotid artery following CEA with patch angioplasty who was then treated successfully with CSSA.
Bates
Mark C
MC
Camcare Health Education and Research Institute, Robert C. Byrd Health Sciences Center, Circulatory Dynamics Laboratory, Charleston Area Medical Center, Charleston, USA.
Kyer
Paul D
PD
Kavasmaneck
Cyrus
C
AbuRahma
Ali
A
Crotty
Bradley
B
D000368:Aged; D000800:Angioplasty, Balloon; D002343:Carotid Artery, Internal / Q000601:surgery; D016893:Carotid Stenosis / Q000601:surgery / Q000628:therapy*; D016894:Endarterectomy, Carotid / Q000379:methods; D005260:Female; D006801:Humans; D012008:Recurrence; D015607:Stents