title: "No-reflow" phenomenon during percutaneous carotid angioplasty in a scleroderma patient.
abstract: Atherosclerosis remains the most common etiology of carotid artery stenosis, but other systemic diseases can also cause this disease. Percutaneous carotid angioplasty and stenting (CAS) with and without distal embolic protection devices is gaining acceptance as the treatment of choice. No-reflow phenomenon due to distal embolization has been previously described mainly during percutaneous intervention of degenerated saphenous vein graft. We describe a patient with systemic sclerosis who underwent CAS with distal embolic protection device with occurrence of no-reflow phenomenon during the procedure that resolved after retrieval of the filter device.
authors.affiliation: Division of Invasive Cardiology, Department of Cardiology, Rambam Medical Center, Haifa, Israel.
authors.forename: Sergey
authors.initials: S
authors.lastname: Yalonetsky
authors.forename: Luis
authors.initials: L
authors.lastname: Gruberg
authors.forename: Rafael
authors.initials: R
authors.lastname: Beyar
mesh_terms: D000368:Aged; D000800:Angioplasty, Balloon; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D016893:Carotid Stenosis / Q000175:diagnosis / Q000628:therapy*; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D012594:Scleroderma, Localized / Q000175:diagnosis / Q000628:therapy*; D018616:Ultrasonography, Doppler, Duplex; D017585:Ultrasonography, Doppler, Transcranial