Stenting of the left carotid artery to relieve anginal symptoms

Thomas Lanspa1, Dennis J Esterbrooks, Mark A Williams

  • 1Division of Cardiology, Creighton University School of Medicine, Omaha, Nebraska, USA.

Insights

Carotid artery stenting, typically for stroke prevention, was used to treat angina in a patient with complex prior vascular surgeries. This case highlights an unusual indication for carotid stenting in managing cardiac symptoms.

Area of Science:

  • Cardiovascular Surgery
  • Interventional Cardiology
  • Vascular Surgery

Background:

  • Carotid artery stenting is standard for preventing stroke and treating transient ischemic attacks.
  • Unusual indications for carotid interventions are less commonly documented.
  • Complex patient histories involving prior bypass grafting require tailored treatment strategies.

Observation:

  • A patient with prior coronary artery bypass grafting and carotid-subclavian bypass presented with anginal symptoms.
  • The patient had undergone left internal mammary artery grafting and a left carotid to left subclavian artery bypass for stenosis.
  • Symptomatic subclavian stenosis was previously addressed surgically.

Findings:

  • Left common carotid artery stenting was performed in this patient.
  • The stenting procedure was undertaken to alleviate the patient's anginal symptoms.
  • This represents an atypical use of carotid stenting for cardiac indications.

Implications:

  • Carotid stenting may be considered for managing cardiac symptoms in select patients with complex vascular disease.
  • This case expands the known indications for carotid artery interventions.
  • Further research may explore the efficacy of carotid stenting in non-neurologic indications.

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