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KMID : 1103720200810030739
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Journal of the Korean Society of Radiology
2020 Volume.81 No. 3 p.739 ~ p.745
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Massive Cerebral Microemboli after Protected Carotid Artery Angioplasty and Stenting Using a Distal Filter Embolic Protection Device for a Vulnerable Plaque with a Lipid Rich Necrotic Core and Intraplaque Hemorrhage: A Case Report
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Kim Hae-Jung
Rho Myung-Ho
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Abstract
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A major concern associated with carotid artery angioplasty and stenting (CAS) is a periprocedural distal cerebral embolization. To prevent distal embolization, embolic protection devices (EPDs) have been developed. However, the risk of cerebral embolism after protected CAS in patents with a vulnerable plaque is controversial and either a silent or a symptomatic stroke can occur despite the use of EPDs. Here, we report a case of a massive cerebral microemboli after a protected CAS using a distal filter EPD for a vulnerable plaque with a lipid rich necrotic core and intraplaque hemorrhage.
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KEYWORD
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Cerebral Embolism, Carotid Arteries, Angioplasty, Stents, Embolic Protection Device, Plaque, Atherosclerotic
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