A Case of Carotid Artery Stenting after Aspiration of Thrombus and Unstable Plaque
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- Kubo Hajime
- Department of Neurosurgery, Tokyo Dental College Ichikawa General Hospital, Ichikawa, Chiba, Japan Department of Neurosurgery, National Hospital Organization Tokyo Medical Center, Tokyo, Japan
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- Inoue Satoshi
- Department of Neurosurgery, Tokyo Dental College Ichikawa General Hospital, Ichikawa, Chiba, Japan
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- Katayama Masateru
- Department of Neurosurgery, Tokyo Dental College Ichikawa General Hospital, Ichikawa, Chiba, Japan
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- Sasaki Aya
- Department of Clinical laboratory, Tokyo Dental College Ichikawa General Hospital, Ichikawa, Chiba, Japan
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- Suga Sadao
- Department of Neurosurgery, Tokyo Dental College Ichikawa General Hospital, Ichikawa, Chiba, Japan
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Abstract
<p>Objective: There is no established method for carotid artery stenting (CAS) for internal carotid artery stenosis with vulnerable plaque and thrombosis. We report a case in which CAS was performed by aspiration using the Penumbra system for thrombosis that increased in the subacute phase in symptomatic cervical internal carotid artery stenosis.</p><p>Case Presentations: A 59-year-old man with a history of lacunar infarction visited the emergency department with weakness in the right upper limb. He was admitted for cerebral infarction in the left corona radiata and basal ganglia. During the course, additional multiple cerebral infarctions developed in the left cerebral hemisphere. The patient was diagnosed with left internal carotid artery stenosis and underwent CAS. As mural thrombus increased compared with preoperative imaging, CAS was performed after thrombus aspiration using the Penumbra system. A large amount of plaque was observed in the aspirated blood.</p><p>Conclusion: Thrombus aspiration using the Penumbra system was effective as distal embolic protection during CAS for internal carotid artery stenosis with increased and shape-changing thrombus. The aspirated blood exhibited pathological findings of plaque tissue and thrombus.</p>
Journal
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- Journal of Neuroendovascular Therapy
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Journal of Neuroendovascular Therapy 14 (2), 62-68, 2020
The Japanese Society for Neuroendovascular Therapy
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Details 詳細情報について
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- CRID
- 1390565134829828352
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- NII Article ID
- 130007800774
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- NII Book ID
- AA1229439X
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- ISSN
- 21862494
- 18824072
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- NDL BIB ID
- 030262881
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed