Abstract:
:Carotid artery stenting (CAS) is a validated option in the treatment of selected extracranial carotid artery stenosis. Carotid artery dissection during CAS is a rare but potentially devastating complication. We report a case of acute dissection and thrombosis of the left internal carotid artery during filter tip wire engaging maneuvers, complicated by intraoperative complete blindness of the left eye. Immediate conversion to carotid endarterectomy was performed under general anesthesia with electroencephalographic monitoring. The patient was discharged home symptomless and remains asymptomatic eight months after the operation, with normal left internal carotid patency and fully recovered eyesight. In conclusion, the management of acute carotid occlusion during CAS requires emergent evaluation and definitive endovascular or open surgical repair to minimize neurologic morbidity. We advocate that all endovascular procedures are carried out in a well-established surgical environment.
journal_name
Vascularjournal_title
Vascularauthors
Tolva V,Bertoni GB,Bianchi PG,Keller GC,Casana Rdoi
10.1177/1708538113478774subject
Has Abstractpub_date
2013-08-01 00:00:00pages
247-50issue
4eissn
1708-5381issn
1708-539Xpii
1708538113478774journal_volume
21pub_type
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