We report a rare complication of carotid artery stenting (CAS) in a patient with severe carotid artery stenosis. CAS with a protection of the Parodi Anti-Emboli System was complicated by an abrupt flow arrest in the internal carotid artery before the guidewire passage through the stenotic site.
HenryMAmorM: Carotid stenting with cerebral protection: First clinical experience using the PercuSurge GuardWire system. J Endovasc Surg6: 321–331, 1999.
TüblerTSchulerM: Balloon-protected carotid artery stenting. Relationship of periprocedural neurological complications with the size of particulate debris. Circulation104: 2791–2796, 2001.
4.
AdamiCAScuroA: Use of the Parodi Anti-Embolism system in carotid stenting: Italian trial results. J Endovasc Ther9: 147–154, 2002.
5.
North American Symptomatic Carotid Endarterectomy Trial: Methods, patient characteristics, and progress. Stroke22: 711–720, 1991.
6.
HenryMHenryI: Benefits of cerebral protection during carotid stenting with the PercuSurge GuardWire System: Immediate and midterm results. J Endovasc Ther9: 1–13, 2002.
7.
ParodiJCLa MuraR: Initial evaluation of carotid angioplasty and stenting with three different cerebral protection devices. J Vasc Surg32: 1127–1136, 2000.
8.
TeradaTTsuuraM: Results of endovascular treatment of internal carotid artery stenosis with a newly developed balloon protection catheter. Neurosurgery53: 617–625, 2003.
9.
OhkiTRoubinGS: Efficacy of a filter device in the prevention of embolic events during carotid angioplasty and stenting: An ex vivo analysis. J Vasc Surg30: 1034–1044, 1999.