Stroke Research Today is a free monthly online journal that collates and summarizes the latest research about Stroke, including details on treatment, recovery, rehabilitation, signs, symptoms.

Tandem balloon protection during emergency carotid artery stenting of a stenotic ICA lesion with intraluminal thrombus.

Imai K, Makino M, Niwa F, Takegami T, Koike H, Azuma Y, Oshima F, Oda K, Kakita K

Department of Emergency Medicine, Acute Stroke Center, Kyoto First Red Cross Hospital, Higashiyama, Kyoto, Japan. keisuke@qb4.so-net.ne.jp

PURPOSE: To report a technique for emergency CAS of a stenotic internal carotid artery (ICA) lesion with an intraluminal thrombus, which predisposes to distal thromboembolism and could aggravate pre-existing neurological symptoms. CASE REPORT: A 77-year-old man with fluctuating stroke underwent successful emergency CAS for an ICA stenosis with intraluminal thrombus using a tandem balloon protection technique featuring proximal balloon blockade and a PercuSurge GuardWire system for distal protection. CONCLUSION: This experience suggests that emergency CAS with tandem balloon protection is a potential treatment for a stenotic lesion with an intraluminal thrombus in patients with fluctuating stroke.

Published 9 May 2007 in J Endovasc Ther, 14(2): 214-8.
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