Contrast‐enhanced transoral carotid ultrasonography for the evaluation of plaque protrusion after carotid artery stenting

A 67 year‐old man was admitted to our hospital because of mild left hemiparesis and was diagnosed with cerebral infarction caused by right internal carotid artery stenosis. He was treated with dual antiplatelet therapy and scheduled for carotid artery stenting 14 days after onset. The preoperative r...

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Veröffentlicht in:Journal of clinical ultrasound 2018-11, Vol.46 (9), p.598-601
Hauptverfasser: Hagiwara, Yuta, Yoshie, Tomohide, Shimizu, Takahiro, Fukano, Takayuki, Takada, Tatsuro, Ueda, Toshihiro, Hasegawa, Yasuhiro
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container_end_page 601
container_issue 9
container_start_page 598
container_title Journal of clinical ultrasound
container_volume 46
creator Hagiwara, Yuta
Yoshie, Tomohide
Shimizu, Takahiro
Fukano, Takayuki
Takada, Tatsuro
Ueda, Toshihiro
Hasegawa, Yasuhiro
description A 67 year‐old man was admitted to our hospital because of mild left hemiparesis and was diagnosed with cerebral infarction caused by right internal carotid artery stenosis. He was treated with dual antiplatelet therapy and scheduled for carotid artery stenting 14 days after onset. The preoperative right carotid angiogram showed 60% stenosis by the NASCET criteria, with an ulcer. The postoperative angiogram suggested protrusion in the stent, which could not be seen on conventional carotid ultrasonography because of its high location. On transoral carotid ultrasonography, clear delineation of the lesion was not possible due to color blurs. Contrast‐enhanced transoral carotid ultrasonography (CETOCU) clearly demonstrated the protrusion and delineated the lumen within the stent.
doi_str_mv 10.1002/jcu.22599
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subjects Aged
Carotid arteries
Carotid Arteries - diagnostic imaging
Carotid artery
Carotid Stenosis - diagnostic imaging
Carotid Stenosis - surgery
Cerebral infarction
Contrast Media
contrast‐enhanced ultrasonography
Humans
Image Enhancement - methods
Implants
Infarction
internal carotid artery
Male
Paresis
Stenosis
stenting
Stents
Surgical implants
transoral approach
Ultrasonic imaging
Ultrasonography - methods
Ultrasound
title Contrast‐enhanced transoral carotid ultrasonography for the evaluation of plaque protrusion after carotid artery stenting
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