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Retained neuroprotection filter after stenting of the internal carotid artery
, 2, 2, 3, 1, 1, 1
Affiliations- 1st Chair and Department of General and Vascular Surgery, Faculty of Medicine, Medical University of Warsaw, Poland, Żwirki i Wigury 61, 02-091 Warsaw, Poland
- Department of General, Vascular and Oncological Surgery, Masovian Brodnowski Hospital, Warsaw, Poland, Kondratowicza 8, 03-242 Warsaw, Poland
- Department of Neurology, Faculty of Health Science, Medical University of Warsaw, Poland, Żwirki i Wigury 61, 02-091 Warsaw, Poland
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Abstract
Retained neuroprotection filter after carotid stenting (CAS) is an extremely rare complication. We report the
case of a 61-year old patient with an accidentally retained neuroprotection filter after urgent CAS. The patient
did not consent to open surgical removal of the retained basket. We did not observe any flow disturbances in
the filter and the patient remains asymptomatic in ten years follow-up. In some cases, the neuroprotection
filter left in the internal carotid artery may not cause cerebral flow disturbances or occlusion of the stent. In
case of the poor neurological or general condition of the patient, we can wait for its improvement or stenting.
Abstract
Retained neuroprotection filter after carotid stenting (CAS) is an extremely rare complication. We report the
case of a 61-year old patient with an accidentally retained neuroprotection filter after urgent CAS. The patient
did not consent to open surgical removal of the retained basket. We did not observe any flow disturbances in
the filter and the patient remains asymptomatic in ten years follow-up. In some cases, the neuroprotection
filter left in the internal carotid artery may not cause cerebral flow disturbances or occlusion of the stent. In
case of the poor neurological or general condition of the patient, we can wait for its improvement or stenting.
Keywords
carotid stenting, embolic protection filter, retained neuroprotection, acute stroke, thrombolysis
About this articleTitle
Retained neuroprotection filter after stenting of the internal carotid artery
Journal
Issue
Article type
Case report
Pages
72-75
Published online
2020-09-25
Page views
626
Article views/downloads
671
DOI
Bibliographic record
Acta Angiologica 2020;26(2):72-75.
Keywords
carotid stenting
embolic protection filter
retained neuroprotection
acute stroke
thrombolysis
Authors
Piotr Myrcha
Dawid Siemieniuk
Mariusz Kozak
Dorota Różański
Tomasz Miłek
Witold Woźniak
Piotr Ciostek
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