Acute cerebral rescue during carotid artery stenting: a stroke of good fortune?
Major stroke is a potentially devastating complication of carotid artery revascularization. Carotid artery stenting, unlike endarterectomy, offers the opportunity to attenuate this complication by allowing for the instantaneous detection and early endovascular treatment of neurologic defects complicating the procedure. We report a case that highlights the utility of aggressive endovascular cerebral rescue during a carotid artery stent procedure.
Jones
Michael R
MR
Departments of Cardiology and Neurosurgery, Central Baptist Hospital, Lexington, Kentucky, USA. mjones@lexingtoncardio.com
Brooks
William H
WH
D000368:Aged; D000800:Angioplasty, Balloon / Q000009:adverse effects / Q000295:instrumentation*; D001037:Aphasia / Q000209:etiology / Q000628:therapy; D016893:Carotid Stenosis / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D002533:Cerebral Angiography; D005260:Female; D006801:Humans; D020766:Intracranial Embolism / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D010291:Paresis / Q000209:etiology / Q000628:therapy; D015641:Radiography, Interventional; D012720:Severity of Illness Index; D015607:Stents; D020521:Stroke / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D016896:Treatment Outcome