title: Captured Macro-embolus of Fractured Atheromatous Plaque by the Embolic Protection Device during Carotid Stent Assisted Angioplasty.
abstract: The authors present a case in which macro-embolus from the ruptured atheromatous plaque developed during carotid artery stenting (CAS). A 63-year-old man who had suffered a left middle cerebral artery territory infarction had significant proximal left internal carotid artery stenosis required CAS procedure. Immediate after stent deployment, the patient showed abrupt neurological deterioration with 12 × 3 mm sized macro-embolus which was caught by the embolus protection device (EPD). Retrieval of the macro-embolus was performed safely and the patient recovered to pre-procedure status. Macro-embolus can be resulted during the CAS. The EPD can capture the macro-embolus and safe removal is technically feasible.
authors.affiliation: Department of Neurosurgery, Pohang Stroke and Spine Hospital, Pohang, Korea.
authors.forename: Mun Chul
authors.initials: MC
authors.lastname: Kim
authors.forename: Shelby
authors.initials: S
authors.lastname: Bennett
authors.forename: Richard
authors.initials: R
authors.lastname: Farb
authors.forename: Sydney
authors.initials: S
authors.lastname: Croul
authors.forename: Seon-Kyu
authors.initials: SK
authors.lastname: Lee
keywords: Atheromatous plaque; Carotid stenting; Embolus protection device