How to Penetrate the Wall of an Unintentionally Deployed Wallstent in the External Carotid Artery for Stenting of an Internal Carotid Artery Lesion

Author:

Hashemi Arash1,Serati Alireza2,Ahmadieh Arsis3,Khalilipur Ehsan4,Ghaffari Lida1,Movahed Mohammad RezaORCID

Affiliation:

1. Department of Medicine, Erfan General Hospital, Tehran, Iran

2. Lung Transplantation Research Center, National Research Institute of Tuberculosis and Lung Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran

3. Department of Medicine, Atieh General Hospital, Tehran, Iran

4. Cardiovascular Intervention Research Center, Rajaie Cardiovascular Medical and Research Center, Tehran, Iran

Abstract

AbstractCarotid artery stenting is increasingly performed among patients with proper indications for carotid artery revascularization. It has a low complication rate with a short recovery time. In this case, we report a new complication due to unintended stent deployment in the external carotid artery covering the ostium of the internal carotid artery requiring penetration and stenting of the deployed Wallstent wall to advance the second stent in the proper position in the internal carotid artery.

Publisher

Georg Thieme Verlag KG

Reference11 articles.

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2. Carotid endarterectomy or stenting or best medical treatment alone for moderate-to-severe asymptomatic carotid artery stenosis: 5-year results of a multicentre, randomised controlled trial;T Reiff;Lancet Neurol,2022

3. Carotid endarterectomy versus stenting for the treatment of patients with carotid artery stenosis: an updated systematic review and meta-analysis;A M Vasavada;Cureus,2023

4. Carotid artery stenting: JACC state-of-the-art review;C J White;J Am Coll Cardiol,2022

5. Classification for carotid artery stenting complications: manifestation, management, and prevention;A Nicosia;J Endovasc Ther,2010

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