Evaluation and management of plaque protrusion or thrombus following carotid artery stenting

Neurologia Medico-chirurgica
Naoki HashimuraKeigo Matsumoto

Abstract

Carotid artery stenting (CAS) has become a common treatment for carotid artery stenosis. However, complications, such as an ischemic event, can occur with CAS during intra- and post-operative periods. Among these ischemic complications, plaque protrusion into the stent and thrombus on the stent have occurred after CAS. We retrospectively evaluated the temporal profile and treatment options for these complications in 32 consecutive cases who underwent CAS at our hospital between April 2009 and December 2011. The cases were evaluated pre-operatively for risk factors, as well as the plaque morphology and characteristics using computed tomographic angiography (CTA), ultrasound (US), and magnetic resonance imaging (MRI). Post-operatively, lesions were examined by CTA and/or US within 1 week of CAS. As a result, among the 32 cases, 8 experienced plaque protrusions or thrombus, which were treated with medication (anti-platelet and/or anti-coagulation reinforcement). In 7 of these 8 cases, the plaque protrusion or thrombus was stabilized with medication alone. However, the remaining case showed growth and migration of the plaque protrusion or thrombus when treated with medication alone, and therefore, required further endovascular trea...Continue Reading

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Citations

Apr 24, 2018·Journal of Clinical Ultrasound : JCU·Yuta HagiwaraYasuhiro Hasegawa
Dec 28, 2017·Surgical Neurology International·Hiroyuki KatanoMitsuhito Mase
Jun 24, 2017·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Akinori MiyakoshiEtsuko Hattori
Aug 2, 2017·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Tomoyuki UmemotoCarlo Setacci
Sep 29, 2019·World Journal of Clinical Cases·Fang XuYong-Sheng Liu
Aug 1, 2020·Clinical Neuroradiology·Joong-Goo KimDeok Hee Lee
Apr 22, 2017·JACC. Cardiovascular Interventions·Masashi KotsugiKimihiko Kichikawa

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