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Carotid Endarterectomy to Remove Retained Solitaire Stent Retriever inside Carotid Stent after Mechanical Thrombectomy.

Publication ,  Journal Article
Cobb, MI-PH; Smith, TP; Brown, PA; Gonzalez, LF; Zomorodi, AR
Published in: J Stroke Cerebrovasc Dis
May 2017

BACKGROUND: Tandem occlusions of the internal carotid artery (ICA) and middle cerebral artery (MCA) occur in up to a third of patients with acute ischemic strokes undergoing endovascular mechanical thrombectomy. Understanding open neurosurgical management of associated complications with this procedure is important. CASE REPORT: A 67-year-old man with acute onset of left hemiparesis and a tandem right ICA and MCA occlusion. He underwent carotid stent angioplasty of a stenotic ICA, followed by attempted Solitaire stent retrieval of an MCA clot. On withdrawal, the tines of the Solitaire stent lodged inside the Precise carotid stent. The patient was started on aspirin, Plavix, and heparin infusion, and underwent a carotid endarterectomy (CEA) with safe removal of the stents and primary vessel repair. CONCLUSION: This is the first case reported to date of a Solitaire stent becoming lodged inside a Precise carotid stent, salvaged by CEA with safe removal of the stents and primary vessel repair. We discuss the timing, indication, alternatives, and technical nuances of a CEA in this setting.

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Published In

J Stroke Cerebrovasc Dis

DOI

EISSN

1532-8511

Publication Date

May 2017

Volume

26

Issue

5

Start / End Page

e90 / e95

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Thrombectomy
  • Stroke
  • Stents
  • Prosthesis Design
  • Paresis
  • Neurology & Neurosurgery
  • Male
  • Infarction, Middle Cerebral Artery
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
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Cobb, M.-P., Smith, T. P., Brown, P. A., Gonzalez, L. F., & Zomorodi, A. R. (2017). Carotid Endarterectomy to Remove Retained Solitaire Stent Retriever inside Carotid Stent after Mechanical Thrombectomy. J Stroke Cerebrovasc Dis, 26(5), e90–e95. https://doi.org/10.1016/j.jstrokecerebrovasdis.2017.02.015
Cobb, Mary In-Ping Huang, Tony P. Smith, Patrick A. Brown, L Fernando Gonzalez, and Ali R. Zomorodi. “Carotid Endarterectomy to Remove Retained Solitaire Stent Retriever inside Carotid Stent after Mechanical Thrombectomy.J Stroke Cerebrovasc Dis 26, no. 5 (May 2017): e90–95. https://doi.org/10.1016/j.jstrokecerebrovasdis.2017.02.015.
Cobb MI-PH, Smith TP, Brown PA, Gonzalez LF, Zomorodi AR. Carotid Endarterectomy to Remove Retained Solitaire Stent Retriever inside Carotid Stent after Mechanical Thrombectomy. J Stroke Cerebrovasc Dis. 2017 May;26(5):e90–5.
Cobb, Mary In-Ping Huang, et al. “Carotid Endarterectomy to Remove Retained Solitaire Stent Retriever inside Carotid Stent after Mechanical Thrombectomy.J Stroke Cerebrovasc Dis, vol. 26, no. 5, May 2017, pp. e90–95. Pubmed, doi:10.1016/j.jstrokecerebrovasdis.2017.02.015.
Cobb MI-PH, Smith TP, Brown PA, Gonzalez LF, Zomorodi AR. Carotid Endarterectomy to Remove Retained Solitaire Stent Retriever inside Carotid Stent after Mechanical Thrombectomy. J Stroke Cerebrovasc Dis. 2017 May;26(5):e90–e95.
Journal cover image

Published In

J Stroke Cerebrovasc Dis

DOI

EISSN

1532-8511

Publication Date

May 2017

Volume

26

Issue

5

Start / End Page

e90 / e95

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Thrombectomy
  • Stroke
  • Stents
  • Prosthesis Design
  • Paresis
  • Neurology & Neurosurgery
  • Male
  • Infarction, Middle Cerebral Artery
  • Humans