|
KMID : 1103720110650060569
|
|
Journal of the Korean Society of Radiology
2011 Volume.65 No. 6 p.569 ~ p.572
|
|
|
Self-Expandable Stenting over a Stent Graft for the Exclusion of a Carotid Stump: Troubleshooting for Device Incompatibility
|
|
Youn Sung-Won
Kim Ho-Kyun
Do Jin-Kuk
Kim Young-Hwan
|
|
|
Abstract
|
|
|
|
Carotid stump, the blind remnant of an occluded internal carotid artery, can be a potential source of microemboli, and warrants its exclusion from the vascular lumen to prevent the recurrence of a microembolism. In a 69-year-old male with a symptomatic carotid stump and acute angle between left common carotid artery and aortic arch, a 7-Fr. shuttle sheath was scarcely placed into the left carotid artery but the 7-mm-diameter stent-graft-loading balloon could not be inserted into the 7-Fr. shuttle sheath. With the mounting a stent graft over a 5-mm balloon, the balloon-expandable stent graft was unfolded. The self-expandable stent was placed over the stent graft, and an 8-mm balloon was subsequently expanded. Self-expanding stenting can be useful for troubleshooting in a case of device incompatibility coming from the different calibers of the external and common carotid arteries for the successful exclusion of a symptomatic carotid stump.
|
|
|
KEYWORD
|
|
|
Carotid Stump, Microemboli, Stent Graft, Self-Expandable Stent
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|