title: Symptomatic carotid vasospasm caused by a distal-protection device during stent angioplasty of the right internal carotid artery.
abstract: Percutaneous carotid stenting with a distal-protection device is now considered an alternative to standard carotid endarterectomy. Although distal-protection filter devices have been reported to reduce the risk of embolism and stroke, their use is associated with such iatrogenic complications as vasospasm, dissection, and guidewire entrapment. Herein, we report a case of symptomatic carotid vasospasm caused by a distal-protection filter device during right internal carotid artery intervention in a woman who had underlying coronary artery disease. We also discuss the management of iatrogenic carotid spasm.
authors.affiliation: Department of Cardiology, Postgraduate Institute of Medical Education & Research, 160012 Chandigarh, India. rajeshvijay999@hotmail.com
authors.forename: Rajesh
authors.initials: R
authors.lastname: Vijayvergiya
authors.forename: Parminder S
authors.initials: PS
authors.lastname: Otaal
authors.forename: Shiv
authors.initials: S
authors.lastname: Bagga
authors.forename: Manish
authors.initials: M
authors.lastname: Modi
mesh_terms: D000800:Angioplasty, Balloon / Q000009:adverse effects / Q000295:instrumentation*; D002304:Cardiac Pacing, Artificial; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging; D016893:Carotid Stenosis / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D003324:Coronary Artery Disease / Q000150:complications; D020878:Device Removal; D005260:Female; D005374:Filtration / Q000295:instrumentation*; D006801:Humans; D007049:Iatrogenic Disease; D008875:Middle Aged; D011859:Radiography; D013035:Spasm / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D015607:Stents; D020521:Stroke / Q000209:etiology / Q000517:prevention & control; D016896:Treatment Outcome; D014665:Vasodilator Agents / Q000627:therapeutic use
chemical_list: D014665:Vasodilator Agents
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