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Left internal carotid stenosis demonstrating a large ulceration

Patient n°1

Mr D. - 82 years old

Asymptomatic carotid artery stenosis

Reasons for carotid revascularization:

  • Fast progression of carotid artery stenosis (serial 2d echo)

Reasons for carotid stenting:

  • high risk for carotid endarterectomy

Risk factors and medical history

  • HTN
  • Dyslipidemia
  • severe symtomatic coronary artery disease, severe stenosis LAD bifurcation with diagonal branch, CTO of RCA, Provisional stenting of LAD bifurcation
  • AAA 42mm
  • Anti platelet therapy: ASPIRIN, CLOPIDOGREL

Cerebral CT scan:

  • Presence of left and right hemisphere ischemic signs

Angiography:

  • Right internal carotid stenosis 

Planned carotid artery stenting procedure

  • Femoral approach, carotid distal protection with filter,  Open cells stent 

Material


EZ FilterWire (Boston Scientific)
Acculink Carotid Conical Stent (Abbott Vascular)

Shooting date : 2010-12-14
Last update : 2021-06-08
Max Amor
Essey-lès-Nancy, France
Christian Breton
Essey-lès-Nancy, France
Julien Lemoine
Essey-Lès-Nancy, France

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