Acute hemifacial ischemia as a late complication of carotid stenting

Maurizio Domanin, Maurizio Isalberti, Silvia Romagnoli, Antonio Rolli, Simona Sommaruga

Research output: Contribution to journalArticlepeer-review

Abstract

Concerns about carotid artery stenting (CAS) center primarily on procedural complications like acute occlusion, stroke, and long-term intrastent restenosis. External carotid artery (ECA) thrombosis is observed during CAS follow-up, but it often remains asymptomatic or, at worst, results in jaw claudication. We report here a case of late occlusion of the ECA after CAS with symptoms of acute homolateral facial ischemia as well as pain, cyanosis, tongue numbness, and skin coldness. The patient was submitted to local thrombolysis and balloon angioplasty with regression of symptoms after recanalization. With this report, we add a caveat about blockage of the ECA ostium during CAS.

Original languageEnglish
Pages (from-to)83-86
Number of pages4
JournalJournal of Vascular Surgery Cases and Innovative Techniques
Volume3
Issue number2
DOIs
Publication statusPublished - Jun 1 2017

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

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