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      Delayed Migration of Tapered Open-Cell Design Carotid Stent: A Case Report

      case-report
      , MD 1 , , MD 1 , , MD, PhD 2 , , MD, PhD 2 , , MD, PhD 3
      Neurointervention
      Korean Society of Interventional Neuroradiology
      Carotid stenosis, Stents, Angioplasty, Complication

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          Abstract

          We present a case of delayed migration of an open-cell design carotid stent, which is a rare complication following carotid artery stenting (CAS). A 65-year-old patient with carotid artery stenosis underwent CAS with an open-cell stent, initially achieving successful deployment. However, 4 months later, the stent migrated and resulted in restenosis. The patient underwent balloon angioplasty and received an additional stent, leading to improved blood flow. The rarity of stent migration, particularly in the absence of risk factors, highlights the need for clinicians to be vigilant and consider early imaging follow-up for patients at risk of this complication after CAS.

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          Most cited references11

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          Realizing the potential of carotid artery stenting: proposed paradigms for patient selection and procedural technique.

          Carotid artery stenting, compared with carotid endarterectomy, is emerging as an effective and less invasive method of revascularization for extracranial carotid artery stenosis. Carotid stenting is established as the treatment of choice for certain high-risk patient subsets, and ongoing clinical trials are evaluating this method across a broader clinical spectrum, including asymptomatic patients. For carotid stenting to reach its full potential, an acceptable risk of periprocedural complications, particularly in low-risk patients, must be ensured (the "3% rule"). The present article provides an in-depth review of carotid stenting, with special emphasis on the process of risk stratification pertaining to clinical, anatomic, and procedural considerations necessary to optimize procedural safety and patient outcomes.
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            Stroke after carotid stenting and endarterectomy in the Carotid Revascularization Endarterectomy versus Stenting Trial (CREST).

            Stroke occurs more commonly after carotid artery stenting than after carotid endarterectomy. Details regarding stroke type, severity, and characteristics have not been reported previously. We describe the strokes that have occurred in the Carotid Revascularization Endarterectomy versus Stenting Trial (CREST).
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              • Article: not found

              Downward migration of carotid stent on 8 months follow-up imaging: possible stent "watermelon- seeding" effect.

              One method used to treat atherosclerotic carotid disease is carotid artery stenting (CAS). A rarely encountered limitation of this technique is stent migration. Here, we present a rare case of carotid stent downward migration found on follow-up imaging 8 months post operation.
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                Author and article information

                Journal
                Neurointervention
                Neurointervention
                NI
                Neurointervention
                Korean Society of Interventional Neuroradiology
                2093-9043
                2233-6273
                November 2023
                19 September 2023
                : 18
                : 3
                : 204-208
                Affiliations
                [1 ]Department of Neurology, National Health Insurance Service Ilsan Hospital, Goyang, Korea
                [2 ]Department of Neurology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
                [3 ]Department of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
                Author notes
                Correspondence to: Sang Hyun Suh, MD, PhD Department of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine, 211, Eonju-ro, Gangnam-gu, Seoul 06273, Korea Tel: +82-2-2019-4551 Fax: +82-2-3462-5472 E-mail: suhsh11@ 123456yuhs.ac
                Author information
                http://orcid.org/0000-0002-7921-580X
                http://orcid.org/0000-0003-2901-5778
                http://orcid.org/0000-0002-3048-4718
                http://orcid.org/0000-0001-5585-7739
                http://orcid.org/0000-0002-7098-4901
                Article
                neuroint-2023-00304
                10.5469/neuroint.2023.00304
                10626035
                37723651
                997613bd-2241-4a33-8b00-f84bc14d4392
                Copyright © 2023 Korean Society of Interventional Neuroradiology

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 24 July 2023
                : 30 August 2023
                : 11 September 2023
                Categories
                Case Report

                Neurosciences
                carotid stenosis,stents,angioplasty,complication
                Neurosciences
                carotid stenosis, stents, angioplasty, complication

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