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Updated: Aug 19, 2026

A Murine Model of Stent Implantation in the Carotid Artery for the Study of Restenosis
Published on: May 14, 2013
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.
Abstract:
Stenting of the carotid artery is usually performed either to prevent an acute neurologic event or to treat episodes of recurrent transient ischemic attacks. Occasionally, it may be performed for other indications. We describe the case of a patient with prior coronary artery bypass grafting using a left internal mammary arterial graft, in addition to left carotid artery to left subclavian artery bypass for symptomatic left subclavian stenosis, who subsequently underwent left common carotid artery stenting to relieve anginal symptoms.
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