title: Covered stents may provide extra protection during carotid artery stenting in high risk patients with an excessive thrombus burden.
abstract: Carotid artery disease is an important cause of mortality and morbidity related to atherosclerosis. Recently, percutaneous intervention procedures have been widely used to treat atherosclerotic carotid artery disease. We report the case of a 57-year-old male patient with a history of acute amaurosis fugax. Carotid angiography was performed as blood pressure differed between his left and right arms and there was a pan-systolic murmur on the left common carotid artery. Total occlusion of the proximal right brachiocephalic artery and a thrombus occluding 90-99% of the left internal carotid artery were detected by carotid angiogram. A self-expanding graft-covered stent was successfully implanted and there were no complications. This case shows that graft-covered stents may be a good alternative technique in special situations.
authors.affiliation: Department of Cardiology, Ada Tıp Hospital, Sakarya, Turkey. ersantatli@yahoo.com
authors.forename: Ersan
authors.initials: E
authors.lastname: Tatli
authors.forename: Ahmet
authors.initials: A
authors.lastname: Barutcu
authors.forename: Emine
authors.initials: E
authors.lastname: Gazi
authors.forename: Yasemin
authors.initials: Y
authors.lastname: Gunduz
mesh_terms: D002341:Carotid Artery Thrombosis / Q000473:pathology / Q000601:surgery*; D002343:Carotid Artery, Internal; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D012307:Risk Factors; D012720:Severity of Illness Index; D015607:Stents
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