Abstract
A 77-year-old man presented with transient motor weakness of the left hand. Cerebral angiography showed 90% stenosis at the origin of the right internal carotid artery. Carotid artery stenting (CAS) was performed 3 weeks later, and a large intraluminal thrombus was found during the procedure. The blood around the thrombus was aspirated using an aspiration catheter under distal protection with a filter wire protection device, and CAS was successfully performed without complications. Although this patient was treated by CAS without complications, carotid stenosis associated with intraluminal thrombus—because it has a high risk of distal embolism—should be carefully diagnosed immediately before CAS.
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Takayama, K., Taoka, T., Nakagawa, H. et al. Carotid artery stenosis with intraluminal thrombus discovered during carotid artery stenting. Jpn J Radiol 27, 367–370 (2009). https://doi.org/10.1007/s11604-009-0348-x
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DOI: https://doi.org/10.1007/s11604-009-0348-x