Case Report: A Cluster of Complications During Carotid Artery Stenting Managed With Peripheral, Coronary, and Imaging...

Area of Science:

• Vascular Surgery
• Interventional Cardiology
• Neurology

Background:

• Carotid artery stenting (CAS) is a common procedure for managing carotid artery stenosis.
• In-stent restenosis (ISR) can occur after CAS, potentially leading to cerebrovascular events.
• Asymptomatic ISR poses a diagnostic and management challenge.

Observation:

• A 72-year-old male presented with severe, asymptomatic ISR 4 years post-CAS.
• The patient was initially scheduled for re-angioplasty with a drug-coated balloon.
• The procedure unexpectedly led to a cascade of cerebral and vascular complications.

Findings:

• Successful management of complex post-procedural complications was achieved.
• A multidisciplinary approach involving peripheral, coronary, and advanced imaging techniques was crucial.
• The case highlights the potential for unexpected events even in seemingly low-risk scenarios.

Implications:

• This case underscores the importance of vigilance and preparedness for complex scenarios during CAS follow-up.
• It demonstrates the efficacy of integrated interventional strategies in managing rare but serious complications.
• Further research into predicting and preventing such complications after CAS is warranted.