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Published in: Journal of Medical Case Reports 1/2010

Open Access 01-12-2010 | Case report

Successful interdisciplinary management of the misdeployment of two self-expanding stents into the internal carotid artery: a case report

Authors: Dominik Jost, Helfried Meissner, Henning von Loewensprung, Thomas Guethe, Thomas Hupp, Hans Henkes

Published in: Journal of Medical Case Reports | Issue 1/2010

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Abstract

Introduction

With the widespread use of carotid artery stenting, previously unknown technical mistakes of this treatment modality are now being encountered. There are multiple strategies for the treatment of in-stent restenosis. With regard to surgical management, endarterectomy and patch plasty are favored. To the best of our knowledge, this report is the first description of a complete stent removal by the eversion technique.

Case presentation

We report the case of a 63-year-old Caucasian man with misdeployment of two stents into his stenotic proximal internal carotid artery, resulting in a high-grade mechanical obstruction of the internal carotid artery lumen. With the contralateral internal carotid artery already occluded and associated stenoses of both proximal and distal vertebral arteries, an interdisciplinary therapeutic concept was applied. Bilateral balloon angioplasty and stenting of the proximal and distal stenotic vertebral arteries were carried out to provide sufficient posterior collateral blood flow, followed by successful surgical stentectomy and carotid endarterectomy using the eversion technique. Duplex scanning and neurological assessments were normal over a 12-month follow-up period.

Conclusions

Interdisciplinary treatment is a recommended option to protect patients from further impairment. Further evaluation in larger studies is highly recommended.
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Metadata
Title
Successful interdisciplinary management of the misdeployment of two self-expanding stents into the internal carotid artery: a case report
Authors
Dominik Jost
Helfried Meissner
Henning von Loewensprung
Thomas Guethe
Thomas Hupp
Hans Henkes
Publication date
01-12-2010
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2010
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/1752-1947-4-397

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