TY - JOUR
T1 - Acute hemifacial ischemia as a late complication of carotid stenting
AU - Domanin, Maurizio
AU - Isalberti, Maurizio
AU - Romagnoli, Silvia
AU - Rolli, Antonio
AU - Sommaruga, Simona
PY - 2017/6/1
Y1 - 2017/6/1
N2 - 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.
AB - 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.
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U2 - 10.1016/j.jvscit.2016.12.004
DO - 10.1016/j.jvscit.2016.12.004
M3 - Article
AN - SCOPUS:85028423739
VL - 3
SP - 83
EP - 86
JO - Journal of Vascular Surgery Cases and Innovative Techniques
JF - Journal of Vascular Surgery Cases and Innovative Techniques
SN - 2352-667X
IS - 2
ER -