Massive Cerebral Microemboli after Protected Carotid Artery Angioplasty and Stenting Using a Distal Filter Embolic Protection Device for a Vulnerable Plaque with a Lipid Rich Necrotic Core and Intraplaque Hemorrhage: A Case Report
김혜정, 노명호,
소속 상세정보
김혜정 ( Kim Hae-Jung )
Sungkyunkwan University School of Medicine Kangbuk Samsung Hospital Department of Radiology
노명호 ( Rho Myung-Ho )
Sungkyunkwan University School of Medicine Kangbuk Samsung Hospital Department of Radiology
Abstract
A major concern associated with carotid artery angioplasty and stenting (CAS) is a periprocedural distal cerebral embolization. To prevent distal embolization, embolic protection devices (EPDs) have been developed. However, the risk of cerebral embolism after protected CAS in patents with a vulnerable plaque is controversial and either a silent or a symptomatic stroke can occur despite the use of EPDs. Here, we report a case of a massive cerebral microemboli after a protected CAS using a distal filter EPD for a vulnerable plaque with a lipid rich necrotic core and intraplaque hemorrhage.
키워드
Cerebral Embolism; Carotid Arteries; Angioplasty; Stents; Embolic Protection Device; Plaque, Atherosclerotic
원문 및 링크아웃 정보
등재저널 정보