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Delayed Cerebral Infarction due to Stent Folding Deformation Following Carotid Artery Stenting

Authors
 Kwon-Duk Seo  ;  Kyung-Yul Lee  ;  Byung Moon Kim  ;  Sang Hyun Suh 
Citation
 KOREAN JOURNAL OF RADIOLOGY, Vol.15(6) : 858-861, 2014 
Journal Title
KOREAN JOURNAL OF RADIOLOGY
ISSN
 1229-6929 
Issue Date
2014
MeSH
Aged ; Anticoagulants/therapeutic use ; Carotid Arteries/diagnostic imaging ; Cerebral Infarction/diagnosis* ; Cerebral Infarction/therapy ; Humans ; Male ; Platelet Aggregation Inhibitors/therapeutic use ; Stents/adverse effects* ; Thrombosis/drug therapy ; Thrombosis/etiology* ; Ticlopidine/analogs & derivatives ; Ticlopidine/therapeutic use ; Tomography, X-Ray Computed
Keywords
Carotid artery stenting ; Complication ; Stent deformation ; Stroke
Abstract
We report a case of delayed cerebral infarction due to stent longitudinal folding deformation following carotid artery stenting using a self-expandable stent with an open-cell design. The stented segment of the left common carotid artery was divided into two different lumens by this folding deformation, and the separated lumens became restricted with in-stent thrombosis. Although no established method of managing this rare complication exists, a conservative approach was taken with administration of anticoagulant and dual antiplatelet therapy. No neurological symptoms were observed during several months of clinical follow-up after discharge.
Files in This Item:
T201404105.pdf Download
DOI
10.3348/kjr.2014.15.6.858
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Byung Moon(김병문) ORCID logo https://orcid.org/0000-0001-8593-6841
Seo, Kwon Duk(서권덕)
Suh, Sang Hyun(서상현) ORCID logo https://orcid.org/0000-0002-7098-4901
Lee, Kyung Yul(이경열) ORCID logo https://orcid.org/0000-0001-5585-7739
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/100355
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