A Case of CAS Using Intraoperative Monitoring for Carotid Artery Stenosis with Contralateral Carotid Occlusion

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  • MORISHITA Masahiro
    Department of Neurosurgery, Nakamura Memorial Hospital
  • SHINDO Koichiro
    Department of Neurosurgery, Nakamura Memorial Hospital Center for Endovascular Neurosurgery, Nakamura Memorial Hospital
  • OGINO Tatsuya
    Department of Neurosurgery, Nakamura Memorial Hospital Center for Endovascular Neurosurgery, Nakamura Memorial Hospital
  • ENDO Hideki
    Department of Neurosurgery, Nakamura Memorial Hospital Center for Endovascular Neurosurgery, Nakamura Memorial Hospital Department of Neurosurgery, Nakamura Memorial South Hospital
  • TATSUTA Yasuyuki
    Department of Neurosurgery, Nakamura Memorial Hospital Center for Endovascular Neurosurgery, Nakamura Memorial Hospital
  • SAKURAI Suguru
    Department of Neurosurgery, Nakamura Memorial Hospital Center for Endovascular Neurosurgery, Nakamura Memorial Hospital
  • FUCHIZAKI Tomoki
    Department of Neurosurgery, Nakamura Memorial Hospital
  • ISHIKAWA Kohei
    Department of Neurosurgery, Nakamura Memorial Hospital
  • OKAMURA Naoyasu
    Department of Neurosurgery, Nakamura Memorial Hospital
  • ISHIZUKA Tomoaki
    Department of Neurosurgery, Nakamura Memorial Hospital
  • OKUMA Masahiro
    Department of Neurosurgery, Nakamura Memorial Hospital
  • YAMAGUCHI Youhei
    Department of Neurosurgery, Nakamura Memorial Hospital
  • KAMIYAMA Kenji
    Department of Neurosurgery, Nakamura Memorial Hospital
  • OSATO Toshiaki
    Department of Neurosurgery, Nakamura Memorial Hospital
  • NAKAMURA Hirohiko
    Department of Neurosurgery, Nakamura Memorial Hospital

Bibliographic Information

Other Title
  • 対側閉塞例に対して，術中モニタリング下に遠位バルーンプロテクションで CAS を施行した1 例
  • タイソク ヘイソクレイ ニ タイシテ,ジュッチュウ モニタリング カ ニ エンイ バルーンプロテクション デ CAS オ シコウ シタ 1レイ

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Description

<p>Objective: We report a case of carotid artery stenting (CAS) using intraoperative monitoring for carotid artery stenosis with contralateral carotid occlusion (CCO).</p><p>Case Presentation: A 68-year-old man underwent CAS for progressive left carotid artery stenosis with CCO, and the plaque images demonstrated plaque vulnerability. Therefore, we chose to perform a temporary carotid occlusion by distal balloon protection with monitoring (SEP and NIRS) before the procedure. If we did not confirm ischemic tolerance, we would have used a distal filter protection device. Monitoring demonstrated ischemic tolerance for a short time during the procedure with the occluded internal carotid artery at the cervical segment instead of the petrous segment. We performed CAS with distal balloon protection.</p><p>Conclusion: Monitoring may be useful for CAS in patients with CCO.</p>

Journal

  • No Kekkannai Chiryo

    No Kekkannai Chiryo 6 (3), 141-147, 2021

    The Japanese Society for Neuroendovascular Therapy

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