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A Murine Model of Stent Implantation in the Carotid Artery for the Study of Restenosis
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Idiopathic carotid and coronary vasospasm: A case treated by carotid artery stenting

Haruko Yoshimoto1, Keizo Asakuno1, Seigo Matsuo1

  • 1Department of Neurosurgery, Moriyama Memorial Hospital (M.M.H.), 7-12-7 Nishikasai, Edogawa-ku, Tokyo 134-0088, Japan.

Surgical Neurology International
|November 26, 2014
PubMed

Insights

Carotid artery stenting (CAS) effectively treated idiopathic carotid and coronary vasospasm, preventing recurrent cerebral ischemic attacks. Targeting the prepetrous portion of the internal carotid artery was crucial for successful outcomes.

Area of Science:

  • Neurology
  • Cardiology
  • Interventional Radiology

Background:

  • Idiopathic carotid and coronary vasospasm presents a challenge due to recurrent cerebral ischemic attacks.
  • Previous medical treatments for carotid vasospasm have proven ineffective.
  • A need exists for novel therapeutic strategies to manage this condition.

Observation:

  • A patient with idiopathic carotid and coronary vasospasm underwent carotid artery stenting (CAS).
  • Initial stenting of the carotid bifurcation did not resolve internal carotid artery (ICA) vasospasm.
  • A subsequent stent placement in the prepetrous portion significantly reduced ischemic events.

Findings:

  • Carotid artery stenting (CAS) demonstrated a dramatic positive effect on extracranial ICA vasospasm.
  • Effective control of vasospasm in the prepetrous portion of the ICA is essential.
  • CAS offers a promising treatment for patients experiencing recurrent cerebral ischemic attacks due to vasospasm.

Implications:

  • CAS may represent a viable therapeutic option for refractory carotid vasospasm.
  • Further research is warranted to validate the safety and efficacy of CAS in larger patient cohorts.
  • This case highlights the importance of precise stent placement in managing complex vasospastic conditions.
Abstract

Keywords:
Carotid vasospasmcarotid stent placementcerebral infarctionvasospastic anginayoung patient

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