eISSN: 1897-4295
ISSN: 1734-9338
Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej
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Sarajevo Declaration on Integrity and Visibility of Scholarly Publications
3/2007
vol. 3
 
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abstract:

Original paper
Iatrogenic dissections of the common carotid artery

Łukasz Tekieli
,
Piotr Pieniążek
,
Piotr Musiałek
,
Rafał Motyl
,
Tadeusz Przewłocki
,
Anna Kabłak-Ziembicka
,
Barbara Biernacka
,
Wiesława Tracz

Post Kardiol Interw 2007; 3, 3 (9): 136-140
Online publish date: 2007/09/27
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Iatrogenic dissection of common carotid artery is a rare, but potentially dangerous complication of carotid artery stenting (CAS). Iatrogenic dissection occurred in two patients (0.4%) among 480 CAS procedures performed with temporary brain protection systems in our center. In both cases, the dissection occurred during cannulation with a diagnostic catheter and teflon guidewire. Additional stent implantation was required because of high risk of vessel occlusion, extension of vessel injury and/or of flow impairment. No new brain ischemic symptoms were observed in peri- and postprocedural period and during three-month follow-up. In conclusion, treatment of iatrogenic dissection of common carotid artery with angioplasty and stent implantation is an effective method to provide anatomical and functional recovery of the carotid artery.
keywords:

iatrogenic dissection, carotid artery stenting
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