Complication with an embolic protection device during carotid angioplasty.
A case of carotid artery stenting with an AngioGuard cerebral protection device is described in a patient with tight internal carotid stenosis. Deployment of AngioGuard induced sudden severe vasospasm, with subsequent minor stroke. According to our observations, AngioGuard may cause a vasospastic response with adverse neurologic effects.
Cardaioli
Paolo
P
Department of Interventional Cardiology, University of Padova Medical School, Padova, Italy. pcardaioli@yahoo.it
Giordan
Massimo
M
Panfili
Marco
M
Chioin
Raffaello
R
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation*; D019917:Blood Vessel Prosthesis Implantation; D002114:Calcinosis / Q000175:diagnosis / Q000628:therapy; D002343:Carotid Artery, Internal / Q000473:pathology* / Q000601:surgery*; D016893:Carotid Stenosis / Q000175:diagnosis / Q000628:therapy; D002533:Cerebral Angiography; D004868:Equipment Failure; D005260:Female; D006801:Humans; D020766:Intracranial Embolism / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control*; D007431:Intraoperative Complications / Q000175:diagnosis / Q000209:etiology*; D015607:Stents / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed; D017585:Ultrasonography, Doppler, Transcranial; D020301:Vasospasm, Intracranial / Q000175:diagnosis / Q000209:etiology