Carotid artery stenting for a nonagenarian presenting as stuttering stroke

Autor: Saman Fatima, Ajay Garg, Leve Joseph, M V Padma Srivastava, Deepti Vibha, Raghav Bansal, Ashish Bindra, Manjari Tripathi, Rajesh Kumar Singh, Arunmozhimaran Elavarasi
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Annals of Indian Academy of Neurology, Vol 25, Iss 4, Pp 715-717 (2022)
Druh dokumentu: article
ISSN: 0972-2327
1998-3549
DOI: 10.4103/aian.aian_14_22
Popis: Carotid artery stenting (CAS) is performed in patients with minor strokes and transient ischemic attacks (TIAs) to prevent further strokes. However, most operators do not intervene in older adults. We had a 92-year patient with recurrent minor strokes with two possible proximate causes – cardioembolism and significant symptomatic left carotid stenosis. This patient continued to have recurrent ischemic events in the left carotid territory despite optimum management of the cardioembolic source with dual antiplatelets and anticoagulation and was successfully treated with left CAS. The role of carotid revascularization in older patients with high-grade symptomatic carotid stenosis and cardiac comorbidities is discussed.
Databáze: Directory of Open Access Journals
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