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Carotid Artery Stenting Successfully Prevents Progressive Stroke Due to Mobile Plaque

Masahiro Oomura1, Chikako Sato1, Kentaro Yamada1

  • 1Department of Neurology, Nagoya City East Medical Center, Nagoya, Japan.

Case Reports in Neurology
|June 17, 2015
PubMed

Insights

A mobile plaque caused progressive ischemic stroke in a 78-year-old man. Carotid artery stenting with a closed-cell stent effectively prevented further strokes, improving his neurological condition.

Area of Science:

  • Neurology
  • Vascular Surgery

Background:

  • Ischemic stroke is a leading cause of disability worldwide.
  • Mobile plaques in the carotid artery are a significant risk factor for recurrent stroke.
  • Current medical therapies may not be sufficient for all cases of stroke due to mobile plaques.

Observation:

  • A 78-year-old male presented with acute, multiple right-hemisphere infarcts.
  • Duplex ultrasound revealed a mobile plaque at the left common carotid artery bifurcation.
  • The patient experienced neurological deterioration despite maximal medical therapy.

Findings:

  • Carotid artery stenting was performed using a closed-cell stent.
  • The intervention successfully prevented further ischemic events.
  • The patient's neurological status stabilized post-procedure.

Implications:

  • Closed-cell carotid artery stenting appears effective in managing progressive ischemic stroke caused by mobile plaques.
  • This case highlights the potential benefit of endovascular intervention when medical management fails.
  • Further research may explore the long-term efficacy and safety of this approach in similar patient populations.

Keywords:
Carotid artery stentingMobile plaqueStroke in evolution

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