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KMID : 1103720130690060427
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Journal of the Korean Society of Radiology
2013 Volume.69 No. 6 p.427 ~ p.431
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Carotid Artery Stenting in Patients with Critical Stenosis of Proximal Internal Carotid Artery and Large Distal Arterial Thrombus: 2 Case Reports
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Jang Ji-Hye
Kim Eui-Jong
Lee Kyung-Mi
Choi Woo-Suk
Yoon Sung-Sang
Park Key-Chung
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Abstract
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Determining the timing of carotid artery stenting in patients with carotid artery stenosis with a large territorial infarction is still controversial. Furthermore, it is more difficult to decide the timing of the procedure in cases with a coexisting tandem lesion, including distal arterial stenosis or thrombus. We report two cases of critical stenosis of the proximal internal carotid artery with a coexisting large distal arterial thrombus that presented as a large territorial infarction, that showed resolution of the distal arterial thrombus with stroke management after 3-4 weeks, and that were safely treated with carotid artery stenting.
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KEYWORD
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Carotid Artery Stenting , Tandem Lesion
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