Endovascular >
Carotid > Cases

Rt. Internal Carotid Artery Lesion Treated by Stent Implantation
- Operator: Paul Hsien- Li Kao, MD
Case Presentation
A 51 years old man was admitted for pre-syncope. He had history of angina pectoris and PCI.
Carotid Doppler revealed increased peak systolic velocity (487 cm/sec) and 75% stenosis of Rt. carotid bulb and proximal ICA due to irregular surfaced low-echoic plaques.
Baseline MRA
Magnetic resonance angiography of the brain showed focal severe stenosis in right carotid bulb.
Procedural Step
The right femoral artery was punctured and a 5 Fr sheath was introduced. After insertion of the right Judkin-4 5 Fr diagnostic catheter, we performed carotid and cerebral angiography ( Movie 1, Movie 2, Movie 3, Movie 4). Then, we exchanged the diagnostic catheter into the right judkin-4 8 Fr SH guiding catheter and inserted the FilterWire EZ (embolic protection system) 0.014 inch 150 cm into the right internal carotid artery ( Movie 5). Next, we introduced and deployed the self-expandable carotid wall stent 9.0(30) at the right internal carotid artery ( Movie 6).
Because of the residual stenosis, we performed post-stenting balloon dilatation by Aviator 6.0(20) ( Movie 7). Final carotid and cerebral angiography showed excellent blood flow through the right internal carotid artery ( Movie 8).
Sign in to leave a comment.
CardioVascular Research Foundation (CVRF)
2nd Floor, Asan Institute for Education & Research, 88, Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, Korea
Tel_82.2.3010.4792 | Fax_82.2.475.6898
ǥ̻ ڽ | ı øȷ43 88, ƻ꺴 ƻ걳 2 | ڵϹȣ 215-82-06387
å_ | ȭȣ_02.3010.4792 | ѽȣ_02.475.6898
Copyright © CVRF, Seoul, Korea. All rights reserved.