Symptomatic carotid vasospasm caused by a distal-protection device during stent angioplasty of the right internal carotid artery.
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.
Vijayvergiya
Rajesh
R
Department of Cardiology, Postgraduate Institute of Medical Education & Research, 160012 Chandigarh, India. rajeshvijay999@hotmail.com
Otaal
Parminder S
PS
Bagga
Shiv
S
Modi
Manish
M
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
D014665:Vasodilator Agents
BMC Cardiovasc Disord. 2004 Jul 21;4:11
15265235
Stroke. 2003 Aug;34(8):1936-41
12843347
Surg Neurol. 2008 Sep;70(3):279-85; discussion 285-6
18262636
J Neurosurg. 2004 Mar;100(3):414-21
15035276
J Vasc Surg. 2009 Feb;49(2):340-4, 345.e1-2; discussion 345
19216954
Eur Heart J. 2004 Sep;25(17):1550-8
15342175
Stroke. 2003 Mar;34(3):813-9
12624315
Neurosurg Focus. 2008;24(2):E12
18275288
Lancet Neurol. 2008 Oct;7(10):885-92
18774745
Semin Vasc Surg. 2003 Dec;16(4):317-25
14691774
J Am Coll Cardiol. 2007 Jan 2;49(1):126-70
17207736