Carotid stent infection: a rare but potentially fatal complication of carotid artery stenting

Son, Sejin; Choi, Nack-Cheon; Choi, Dae Seob; Cho, Oh Hyun

doi:10.1136/neurintsurg-2014-011143.rep

Cited by 15 publications

(17 citation statements)

References 7 publications

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“…However, anticoagulant therapy could not be introduced in our case due to bleeding diathesis; therefore, aspirin alone was used as antiplatelet therapy. Although stent thrombosis occurred in our case, it was considered that sepsis was caused by E. coli , and it has been reported that stent infection is a potentially fatal complication [8] .…”

Section: Discussionmentioning

confidence: 67%

Covered stent placement for emergency repair of a ruptured superior mesenteric artery pseudoaneurysm in advanced pancreatic head cancer

Kimbara

Sato

Hasegawa

et al. 2019

Radiology Case Reports

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Superior mesenteric artery (SMA) pseudoaneurysms are rare but fatal. Surgical repair is an ideal treatment; however, it is inappropriate in patients with SMA pseudoaneurysm due to advanced cancer, and endovascular therapy is an alternative treatment for nonsurgical candidates. Here, we report a case of SMA pseudoaneurysm in a patient with advanced pancreatic cancer, which was successfully treated with the placement of a biliary covered stent.

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Section: Discussionmentioning

confidence: 67%

Covered stent placement for emergency repair of a ruptured superior mesenteric artery pseudoaneurysm in advanced pancreatic head cancer

Kimbara

Sato

Hasegawa

et al. 2019

Radiology Case Reports

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“…Contralateral cerebral embolism occurred after CAS for extracranial carotid stenosis [9]. Infection of the inserted carotid stent caused rupture of the carotid artery [10]. Cerebral vasospasm was noted after CAS [3].…”

Section: Discussionmentioning

confidence: 99%

Cerebral Air Embolism and Vasospasm after Carotid Revascularization: A Case Report

Lee

Wong

2020

Case Rep Neurol

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Cerebral air embolism can be of venous and arterial origin and cause severe medical complication. Vasospasm is a severe complication of carotid artery stenting. We report a 63-year-old male with severe carotid artery stenosis who suddenly died due to acute myocardial infarction during carotid artery stenting. His brain computed tomogram showed a remarkable amount of air in the gyriform spaces, and the cerebral angiogram showed vasospasm in the internal carotid artery resulting from stent manipulation. Presence of gyriform air could be caused by air entering the catheter due to sudden collapse after acute myocardial infarction and severe carotid vasospasm.

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“…Carotid stent infections are rare, with only four cases reported in the literature, 13 but they are a serious complication when they do occur. Once infected, stents act as a medium for bacteria to attach to the arterial wall, causing arterial wall destruction, thrombosis formation and eventual wall thinning and pseudoaneurysm.…”

Section: Discussionmentioning

confidence: 99%

Management challenges of late presentation Dacron patch infection after carotid endarterectomy

Altaf

Tosenovsky

et al. 2017

BMJ Case Reports

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An 83-year-old man presented 4 years after right carotid endarterectomy (CEA) with an infection of his prosthetic Dacron patch. Initial scans (CT angiogram and whole body labelled white cell scan) were clear with no infection or collection noted. Systemically, the patient presented well with no recorded fevers. With an occluded left internal carotid artery and severely stenosed vertebral arteries, surgery presented a high risk of major stroke due to the lack collateral supply and this was discussed extensively. The patient subsequently declined surgical management, and he was monitored closely on an outpatient basis. He presented again a year later with ongoing haemoserous ooze from the CEA site. Subsequently a two-stage procedure was performed, where initially a stent was inserted, followed by patch excision and debridement. A muscle flap was then mobilised over the opening. This new approach to carotid patch infections should gain traction over time as a safer alternative for high-risk patients.

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Carotid stent infection: a rare but potentially fatal complication of carotid artery stenting

Cited by 15 publications

References 7 publications

Covered stent placement for emergency repair of a ruptured superior mesenteric artery pseudoaneurysm in advanced pancreatic head cancer

Covered stent placement for emergency repair of a ruptured superior mesenteric artery pseudoaneurysm in advanced pancreatic head cancer

Cerebral Air Embolism and Vasospasm after Carotid Revascularization: A Case Report

Management challenges of late presentation Dacron patch infection after carotid endarterectomy

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