Stenting in High-Grade Internal Carotid Artery Stenosis: 2-Dimensional Operative Video.
Oper Neurosurg (Hagerstown)
; 21(2): E128, 2021 Jul 15.
Article
em En
| MEDLINE
| ID: mdl-33930171
ABSTRACT
Carotid artery stenosis is implicated in up to 40% of all ischemic strokes. Accordingly, symptomatic, high-grade carotid artery stenosis portends an especially high risk of future stroke. Intervention via open or endovascular approaches drastically reduces this risk. Under the appropriate conditions, carotid artery stenting serves as a safe and effective alternative to carotid endarterectomy. We present the case of a 57-yr-old male with symptomatic, high-grade stenosis of his right internal carotid artery, for whom a history of radiation to the head and neck represented a relative contraindication to carotid endarterectomy, and thus endovascular treatment with angioplasty and stenting was performed. Informed consent was obtained prior to the procedure. Intraprocedurally, stent delivery past the area of stenosis proved somewhat challenging. However, by employing several nuanced maneuvers, we utilized our guiding catheter in a nonconventional manner in order to successfully perform the procedure. As the field of neuroendovascular surgery evolves, each case provides us unique lessons, which in turn expands our interventional capabilities and adds to the armamentarium of neuroendovascular techniques. We present this surgical video both as a means to provide a general overview of carotid artery stenting, and to share a lesson learned through the implementation of an interesting technical nuance.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Endarterectomia das Carótidas
/
Estenose das Carótidas
Limite:
Humans
/
Male
Idioma:
En
Revista:
Oper Neurosurg (Hagerstown)
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Estados Unidos