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

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 vulne...

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Main Authors:	Hae-Jung Kim, Myung-Ho Rho
Format:	Article
Language:	English
Published:	The Korean Society of Radiology 2020-05-01
Series:	대한영상의학회지
Subjects:	cerebral embolism carotid arteries; angioplasty stents embolic protection device plaque atherosclerotic
Online Access:	https://doi.org/10.3348/jksr.2020.81.3.739

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spelling	doaj-6d605c3667ba4f089004c50a81c733922020-11-25T02:50:40ZengThe Korean Society of Radiology대한영상의학회지1738-26372288-29282020-05-01813739745https://doi.org/10.3348/jksr.2020.81.3.739Massive 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 ReportHae-Jung Kim0Myung-Ho Rho1Department of Radiology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, KoreaDepartment of Radiology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, KoreaA 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.https://doi.org/10.3348/jksr.2020.81.3.739cerebral embolismcarotid arteries; angioplastystentsembolic protection deviceplaqueatherosclerotic
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Hae-Jung Kim Myung-Ho Rho
spellingShingle	Hae-Jung Kim Myung-Ho Rho 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 대한영상의학회지 cerebral embolism carotid arteries; angioplasty stents embolic protection device plaque atherosclerotic
author_facet	Hae-Jung Kim Myung-Ho Rho
author_sort	Hae-Jung Kim
title	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
title_short	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
title_full	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
title_fullStr	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
title_full_unstemmed	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
title_sort	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
publisher	The Korean Society of Radiology
series	대한영상의학회지
issn	1738-2637 2288-2928
publishDate	2020-05-01
description	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.
topic	cerebral embolism carotid arteries; angioplasty stents embolic protection device plaque atherosclerotic
url	https://doi.org/10.3348/jksr.2020.81.3.739
work_keys_str_mv	AT haejungkim massivecerebralmicroemboliafterprotectedcarotidarteryangioplastyandstentingusingadistalfilterembolicprotectiondeviceforavulnerableplaquewithalipidrichnecroticcoreandintraplaquehemorrhageacasereport AT myunghorho massivecerebralmicroemboliafterprotectedcarotidarteryangioplastyandstentingusingadistalfilterembolicprotectiondeviceforavulnerableplaquewithalipidrichnecroticcoreandintraplaquehemorrhageacasereport
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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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