Acute hemifacial ischemia as a late complication of carotid stenting

Concerns about carotid artery stenting (CAS) center primarily on procedural complications like acute occlusion, stroke, and long-term intrastent restenosis. External carotid artery (ECA) thrombosis is observed during CAS follow-up, but it often remains asymptomatic or, at worst, results in jaw claud...

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Main Authors:	Maurizio Domanin, MD, Maurizio Isalberti, MD, Silvia Romagnoli, MD, Antonio Rolli, MD, Simona Sommaruga, MD
Format:	Article
Language:	English
Published:	Elsevier 2017-06-01
Series:	Journal of Vascular Surgery Cases and Innovative Techniques
Online Access:	http://www.sciencedirect.com/science/article/pii/S2468428717300023

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spelling	doaj-fdcadf3daf0b4fb58d579d1e0dd384402020-11-24T22:23:45ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872017-06-0132838610.1016/j.jvscit.2016.12.004Acute hemifacial ischemia as a late complication of carotid stentingMaurizio Domanin, MD0Maurizio Isalberti, MD1Silvia Romagnoli, MD2Antonio Rolli, MD3Simona Sommaruga, MD4Department of Clinical Science and Community Health, University of Milan, Milan, ItalyOperative Unit of Neuroradiology, I.R.C.C.S. Fondazione Cà Granda Ospedale Maggiore Policlinico, Milan, ItalyOperative Unit of Vascular Surgery, I.R.C.C.S. Fondazione Cà Granda Ospedale Maggiore Policlinico, Milan, ItalyOperative Unit of Vascular Surgery, I.R.C.C.S. Fondazione Cà Granda Ospedale Maggiore Policlinico, Milan, ItalyOperative Unit of Vascular Surgery, I.R.C.C.S. Fondazione Cà Granda Ospedale Maggiore Policlinico, Milan, ItalyConcerns about carotid artery stenting (CAS) center primarily on procedural complications like acute occlusion, stroke, and long-term intrastent restenosis. External carotid artery (ECA) thrombosis is observed during CAS follow-up, but it often remains asymptomatic or, at worst, results in jaw claudication. We report here a case of late occlusion of the ECA after CAS with symptoms of acute homolateral facial ischemia as well as pain, cyanosis, tongue numbness, and skin coldness. The patient was submitted to local thrombolysis and balloon angioplasty with regression of symptoms after recanalization. With this report, we add a caveat about blockage of the ECA ostium during CAS.http://www.sciencedirect.com/science/article/pii/S2468428717300023
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Maurizio Domanin, MD Maurizio Isalberti, MD Silvia Romagnoli, MD Antonio Rolli, MD Simona Sommaruga, MD
spellingShingle	Maurizio Domanin, MD Maurizio Isalberti, MD Silvia Romagnoli, MD Antonio Rolli, MD Simona Sommaruga, MD Acute hemifacial ischemia as a late complication of carotid stenting Journal of Vascular Surgery Cases and Innovative Techniques
author_facet	Maurizio Domanin, MD Maurizio Isalberti, MD Silvia Romagnoli, MD Antonio Rolli, MD Simona Sommaruga, MD
author_sort	Maurizio Domanin, MD
title	Acute hemifacial ischemia as a late complication of carotid stenting
title_short	Acute hemifacial ischemia as a late complication of carotid stenting
title_full	Acute hemifacial ischemia as a late complication of carotid stenting
title_fullStr	Acute hemifacial ischemia as a late complication of carotid stenting
title_full_unstemmed	Acute hemifacial ischemia as a late complication of carotid stenting
title_sort	acute hemifacial ischemia as a late complication of carotid stenting
publisher	Elsevier
series	Journal of Vascular Surgery Cases and Innovative Techniques
issn	2468-4287
publishDate	2017-06-01
description	Concerns about carotid artery stenting (CAS) center primarily on procedural complications like acute occlusion, stroke, and long-term intrastent restenosis. External carotid artery (ECA) thrombosis is observed during CAS follow-up, but it often remains asymptomatic or, at worst, results in jaw claudication. We report here a case of late occlusion of the ECA after CAS with symptoms of acute homolateral facial ischemia as well as pain, cyanosis, tongue numbness, and skin coldness. The patient was submitted to local thrombolysis and balloon angioplasty with regression of symptoms after recanalization. With this report, we add a caveat about blockage of the ECA ostium during CAS.
url	http://www.sciencedirect.com/science/article/pii/S2468428717300023
work_keys_str_mv	AT mauriziodomaninmd acutehemifacialischemiaasalatecomplicationofcarotidstenting AT maurizioisalbertimd acutehemifacialischemiaasalatecomplicationofcarotidstenting AT silviaromagnolimd acutehemifacialischemiaasalatecomplicationofcarotidstenting AT antoniorollimd acutehemifacialischemiaasalatecomplicationofcarotidstenting AT simonasommarugamd acutehemifacialischemiaasalatecomplicationofcarotidstenting
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Acute hemifacial ischemia as a late complication of carotid stenting

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