Journal of Vascular Surgery
Volume 45, Issue 5 , Pages 867-874 , May 2007

Subclinical embolization after carotid artery stenting: New lesions on diffusion-weighted magnetic resonance imaging occur postprocedure

Presented at the Twenty-first Annual Meeting of the Western Vascular Society, Sept 16-19, 2006, La Jolla, Calif.

  • Joseph H. Rapp, MD

      Affiliations

    • Vascular Surgery Service, San Francisco VA Medical Center, San Francisco, CA
    • Division of Vascular Surgery, University of California San Francisco, San Francisco, CA
    • Corresponding Author InformationCorrespondence: Joseph H. Rapp, MD, Vascular Surgery Service, San Francisco Department of Veterans Affairs Medical Center, 4150 Clement St, San Francisco, CA
    • ,
  • Laura Wakil, BA

      Affiliations

    • School of Medicine, University of California, San Francisco, CA
    • ,
  • Rajiv Sawhney, MD

      Affiliations

    • Radiology Service, San Francisco VA Medical Center, San Francisco, CA
    • Department of Radiology, University of California, San Francisco, CA
    • ,
  • Xian Mang Pan, MD

      Affiliations

    • Vascular Surgery Service, San Francisco VA Medical Center, San Francisco, CA
    • Division of Vascular Surgery, University of California San Francisco, San Francisco, CA
    • ,
  • Midori A. Yenari, MD

      Affiliations

    • Neurology Service, San Francisco VA Medical Center and Department of Neurology, University of California, San Francisco, CA
    • ,
  • Christine Glastonbury, MD

      Affiliations

    • Radiology Service, San Francisco VA Medical Center, San Francisco, CA
    • Department of Radiology, University of California, San Francisco, CA
    • ,
  • Sheila Coogan, MD

      Affiliations

    • Vascular Surgery Service, Palo Alto VA Medical Center and the Division of Vascular Surgery, Stanford Medical Center, San Fransico, CA
    • ,
  • Max Wintermark, MD

      Affiliations

    • Radiology Service, San Francisco VA Medical Center, San Francisco, CA
    • Department of Radiology, University of California, San Francisco, CA

Received 16 September 2006 ,Accepted 20 December 2006.

  • Image Result

    Diffusion-weighted images before, 1 hour, and 48 hours after carotid stenting show three small, new lesions in the right hemisphere.

    Diffusion-weighted images before, 1 hour, and 48 hours after carotid stenting show three small, new lesions in the right hemisphere.

  • Image Result

    A, Preprocedural and B, postprocedural views of a critical internal carotid lesion. Note the continued presence of a small area of luminal irregularity extending outside the stent.

    A, Preprocedural and B, postprocedural views of a critical internal carotid lesion. Note the continued presence of a small area of luminal irregularity extending outside the stent.

  • Image Result

    Debris recovered from an embolic protection device. The range of sizes includes atherosclerotic tissue fragments above and below 100 μm in size.

    Debris recovered from an embolic protection device. The range of sizes includes atherosclerotic tissue fragments above and below 100 μm in size.

 Competition of interest: none.CME article

PII: S0741-5214(07)00007-9

doi: 10.1016/j.jvs.2006.12.058

Journal of Vascular Surgery
Volume 45, Issue 5 , Pages 867-874 , May 2007

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