Carotid stent fracture: Diagnosis and management

2009 ◽  
pp. NA-NA
Author(s):  
Gernot Boehm ◽  
Manfred Gschwendtner ◽  
Martin Schillinger
Keyword(s):  
Stent Fracture ◽  
Carotid Stent ◽  
Diagnosis And Management ◽  
Fracture Diagnosis

scholarly journals “Whiplash” cervical trauma with fracture and migration of carotid stent fragments

2020 ◽  
Vol 11 ◽  
pp. 329
Author(s):  
Danilo Almeida Silva ◽  
Guilherme Brasileiro de Aguiar ◽  
Maurício Jory ◽  
Mario Luiz Marques Conti ◽  
José Carlos Esteves Veiga
Keyword(s):  
Asymptomatic Patient ◽  
Stent Fracture ◽  
Carotid Stent ◽  
Distal Embolization ◽  
Automobile Accident ◽  
Rare Manifestation ◽  
History Of ◽  
And Migration ◽  
Associated Risk Factors ◽  
Actual Prevalence

Background: Angioplasty using a carotid stent is a treatment modality for carotid stenosis, with results similar to those obtained with endarterectomy, as demonstrated by important studies. The increasing use of this procedure has also led to a larger number of reports of complications, stent fractures among those. Stent fracture is a rare manifestation and hence needs further studying so that its actual prevalence can be determined, as well as its associated risk factors and proper clinical management. The current study reports the case of a patient who had previously undergone angioplasty with a carotid stent and, after an automobile accident, presented with a stent fracture and distal embolization of fragments thereof with neurological manifestation. Case Description: A male patient, 40 years old, presented with a history of previously stent carotid angioplasty. He had been involved in an automobile accident and suffered a stent fracture with distal fragment migration. As he was an asymptomatic patient (NIHSS 0, Rankin zero), we opted for a conservative treatment with oral anticoagulant. Conclusion: Angioplasty is an effective treatment for extracranial atherosclerosis and, albeit rare, stent fractures can result in the migration of fragments thereof. This occurrence should be suspected in patients who have sustained severe neck injuries due to sudden deceleration and may be associated with thromboembolism.

scholarly journals Carotid Stent Fracture from Stylocarotid Syndrome

2016 ◽  
Vol 10 (6) ◽  
Author(s):  
David Andrew Joyner ◽  
Jeffrey Hooker ◽  
Edward Patrick Farley ◽  
Majid Khan
Keyword(s):  
Stent Fracture ◽  
Carotid Stent

scholarly journals Penile Fracture Diagnosis and Management- A North Indian Tertiary Care Experience

2019 ◽  
Vol 8 (43) ◽  
pp. 3263-3267
Author(s):  
Girish Kumar ◽  
Manjeet Kumar ◽  
Kailash Barwal ◽  
Pawan Kaundal
Keyword(s):  
Tertiary Care ◽  
Penile Fracture ◽  
Care Experience ◽  
Diagnosis And Management ◽  
Fracture Diagnosis

scholarly journals P.100 Carotid stent fracture post balloon angioplasty for unilateral recurrent ICA stenosis with pre-existing occlusion of contralateral ICA and literature review

2016 ◽  
Vol 43 (S2) ◽  
pp. S43-S44
Author(s):  
AH Naeem ◽  
G Alrumaihi ◽  
M Boulton
Keyword(s):  
Literature Review ◽  
Balloon Angioplasty ◽  
English Literature ◽  
Peak Systolic Velocity ◽  
Stent Fracture ◽  
Carotid Stent ◽  
Residual Stenosis ◽  
Patient Profile ◽  
Ica Stenosis ◽  
Stent Stenosis

Background: Closed cell carotid stent fracture is rare. From our literature review, we present the first reported case in English literature of a carotid stent fracture post angioplasty for an in-stent stenosis. Methods: Case Report Results: 72-year-old male underwent left carotid stenting for symptomatic ulcerated stenosis of the proximal aspect of left ICA (71% stenosis with post-stenting 55% residual stenosis). His right ICA and right vertebral artery were occluded. 2 months later, he presented with TIA’s and severe in-stent stenosis in the proximal left ICA measuring 1 mm in diameter. Satisfactory balloon (5×40 mm) angioplasty was done with residual stenosis measuring 2.5 mm in diameter. 8 months later he presented with symptoms of compromised cerebral perfusion. Workup showed a stent fracture distally at the site of severe ICA stenosis secondary to atherosclerotic calcified plaque causing blood flow changes. His PSV (peak systolic velocity) in the left ICA was 383 m/s. As such he underwent left ICA re-stenting for symptomatic severe left ICA stenosis of 70% with 40% residual stenosis following stent deployment. Conclusions: Carotid stent fracture post balloon angioplasty for recurrent stenosis is rare but of paramount importance. We demonstrate re-stenting as a viable treatment modality when patient profile is not amenable to a surgical revascularization procedure.

Carotid stent fracture and restenosis management

2011 ◽  
Vol 16 (6) ◽  
pp. 436-442 ◽  
Author(s):  
Brian G Hynes ◽  
Nicholas J Ruggiero ◽  
Joshua A Hirsch ◽  
Kenneth Rosenfield
Keyword(s):  
Stent Fracture ◽  
Carotid Stent
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