Acute carotid stenting for treatment of stuttering transient ischemic attacks after recent carotid endarterectomy

Vinodh T. Doss, Adam Arthur, Clarence Watridge, Lucas Elijovich

Research output: Contribution to journalArticle

Abstract

Carotid endarterectomy (CEA) is the established standard to treat occlusive extracranial atherosclerotic carotid disease. Complications of CEA must be recognized and dealt with efficiently due to the potentially catastrophic neurologic sequelae. A 67-year-old African American man was transferred from an outside hospital for an acute stroke. He had initially presented with a small right frontal subcortical infarct and had undergone a right CEA 2 days prior to transfer. He had afiuctuating examination with left-sided hemiplegia to slight hemiparesis and inconsistent neglect. Head CT demonstrated a watershed infarct of the right hemisphere. CT angiography demonstrated high grade stenosis at the distal aspect of the CEA anastomosis. He was promptly taken for angiography and underwent acute stenting of the right internal carotid artery. This case demonstrates that carotid artery stenting is a safe management strategy for the treatment of complications associated with failed distal anastomosis during CEA.

Original languageEnglish (US)
Article number010766
JournalBMJ Case Reports
DOIs
StatePublished - Oct 16 2013

Fingerprint

Stuttering
Carotid Endarterectomy
Transient Ischemic Attack
Therapeutics
Carotid Artery Diseases
Hemiplegia
Internal Carotid Artery
Paresis
Carotid Arteries
African Americans
Nervous System
Angiography
Pathologic Constriction
Stroke
Head

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Acute carotid stenting for treatment of stuttering transient ischemic attacks after recent carotid endarterectomy. / Doss, Vinodh T.; Arthur, Adam; Watridge, Clarence; Elijovich, Lucas.

In: BMJ Case Reports, 16.10.2013.

Research output: Contribution to journalArticle

@article{7b29732a125440588ddb13ce69818d1f,
title = "Acute carotid stenting for treatment of stuttering transient ischemic attacks after recent carotid endarterectomy",
abstract = "Carotid endarterectomy (CEA) is the established standard to treat occlusive extracranial atherosclerotic carotid disease. Complications of CEA must be recognized and dealt with efficiently due to the potentially catastrophic neurologic sequelae. A 67-year-old African American man was transferred from an outside hospital for an acute stroke. He had initially presented with a small right frontal subcortical infarct and had undergone a right CEA 2 days prior to transfer. He had afiuctuating examination with left-sided hemiplegia to slight hemiparesis and inconsistent neglect. Head CT demonstrated a watershed infarct of the right hemisphere. CT angiography demonstrated high grade stenosis at the distal aspect of the CEA anastomosis. He was promptly taken for angiography and underwent acute stenting of the right internal carotid artery. This case demonstrates that carotid artery stenting is a safe management strategy for the treatment of complications associated with failed distal anastomosis during CEA.",
author = "Doss, {Vinodh T.} and Adam Arthur and Clarence Watridge and Lucas Elijovich",
year = "2013",
month = "10",
day = "16",
doi = "10.1136/bcr-2013-010766",
language = "English (US)",
journal = "BMJ Case Reports",
issn = "1757-790X",
publisher = "BMJ Publishing Group",

}

TY - JOUR

T1 - Acute carotid stenting for treatment of stuttering transient ischemic attacks after recent carotid endarterectomy

AU - Doss, Vinodh T.

AU - Arthur, Adam

AU - Watridge, Clarence

AU - Elijovich, Lucas

PY - 2013/10/16

Y1 - 2013/10/16

N2 - Carotid endarterectomy (CEA) is the established standard to treat occlusive extracranial atherosclerotic carotid disease. Complications of CEA must be recognized and dealt with efficiently due to the potentially catastrophic neurologic sequelae. A 67-year-old African American man was transferred from an outside hospital for an acute stroke. He had initially presented with a small right frontal subcortical infarct and had undergone a right CEA 2 days prior to transfer. He had afiuctuating examination with left-sided hemiplegia to slight hemiparesis and inconsistent neglect. Head CT demonstrated a watershed infarct of the right hemisphere. CT angiography demonstrated high grade stenosis at the distal aspect of the CEA anastomosis. He was promptly taken for angiography and underwent acute stenting of the right internal carotid artery. This case demonstrates that carotid artery stenting is a safe management strategy for the treatment of complications associated with failed distal anastomosis during CEA.

AB - Carotid endarterectomy (CEA) is the established standard to treat occlusive extracranial atherosclerotic carotid disease. Complications of CEA must be recognized and dealt with efficiently due to the potentially catastrophic neurologic sequelae. A 67-year-old African American man was transferred from an outside hospital for an acute stroke. He had initially presented with a small right frontal subcortical infarct and had undergone a right CEA 2 days prior to transfer. He had afiuctuating examination with left-sided hemiplegia to slight hemiparesis and inconsistent neglect. Head CT demonstrated a watershed infarct of the right hemisphere. CT angiography demonstrated high grade stenosis at the distal aspect of the CEA anastomosis. He was promptly taken for angiography and underwent acute stenting of the right internal carotid artery. This case demonstrates that carotid artery stenting is a safe management strategy for the treatment of complications associated with failed distal anastomosis during CEA.

UR - http://www.scopus.com/inward/record.url?scp=84886689674&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84886689674&partnerID=8YFLogxK

U2 - 10.1136/bcr-2013-010766

DO - 10.1136/bcr-2013-010766

M3 - Article

JO - BMJ Case Reports

JF - BMJ Case Reports

SN - 1757-790X

M1 - 010766

ER -