A lotus root-like appearance in carotid stenosis on optical coherence tomography
An 82-year-old man visited the outpatient clinic of our stroke centre because of dizziness. He had a previous history of stroke without definite sequelae. Severe stenosis in the left proximal internal carotid artery (ICA) was seen on Doppler sonography. Conventional angiography revealed focal severe...
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| Veröffentlicht in: | BMJ case reports 2015-05, Vol.2015, p.bcr2015011685 |
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| creator | Chang, Hyukwon Yoon, Hyuck Jun Hong, Jeong-Ho Kim, Chang-Hyun Sohn, Sung-il Lee, Chang-Young |
| description | An 82-year-old man visited the outpatient clinic of our stroke centre because of dizziness. He had a previous history of stroke without definite sequelae. Severe stenosis in the left proximal internal carotid artery (ICA) was seen on Doppler sonography. Conventional angiography revealed focal severe stenosis with ‘string sign’ in the left proximal ICA and delayed distal run off. Optical coherence tomography showed multiple channels surrounding a narrowed central lumen (lotus root-like appearance). Carotid stent placement with a protection device was done without complications. The patient was discharged in good condition 5 days after the procedure. |
| doi_str_mv | 10.1136/bcr-2015-011685 |
| format | Article |
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He had a previous history of stroke without definite sequelae. Severe stenosis in the left proximal internal carotid artery (ICA) was seen on Doppler sonography. Conventional angiography revealed focal severe stenosis with ‘string sign’ in the left proximal ICA and delayed distal run off. Optical coherence tomography showed multiple channels surrounding a narrowed central lumen (lotus root-like appearance). Carotid stent placement with a protection device was done without complications. The patient was discharged in good condition 5 days after the procedure.</description><identifier>ISSN: 1757-790X</identifier><identifier>EISSN: 1757-790X</identifier><identifier>DOI: 10.1136/bcr-2015-011685</identifier><identifier>PMID: 25979912</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Aged, 80 and over ; Angioplasty ; Blood clots ; Carotid arteries ; Carotid Stenosis - complications ; Carotid Stenosis - diagnostic imaging ; Carotid Stenosis - surgery ; Coronary vessels ; Dizziness - diagnostic imaging ; Dizziness - etiology ; Humans ; Male ; Medical imaging ; Neuroimaging ; Radiography ; Stents ; Stroke - complications ; Tomography, Optical Coherence ; Treatment Outcome ; Veins & arteries</subject><ispartof>BMJ case reports, 2015-05, Vol.2015, p.bcr2015011685</ispartof><rights>2015 BMJ Publishing Group Ltd</rights><rights>2015 BMJ Publishing Group Ltd.</rights><rights>Copyright: 2015 2015 BMJ Publishing Group Ltd</rights><rights>2015 BMJ Publishing Group Ltd 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b4375-5d6e3d28bb30f38efec0d9052915ebfdf16c84cdb6a61fbbe1b0259930f416153</citedby><cites>FETCH-LOGICAL-b4375-5d6e3d28bb30f38efec0d9052915ebfdf16c84cdb6a61fbbe1b0259930f416153</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4434357/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4434357/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25979912$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chang, Hyukwon</creatorcontrib><creatorcontrib>Yoon, Hyuck Jun</creatorcontrib><creatorcontrib>Hong, Jeong-Ho</creatorcontrib><creatorcontrib>Kim, Chang-Hyun</creatorcontrib><creatorcontrib>Sohn, Sung-il</creatorcontrib><creatorcontrib>Lee, Chang-Young</creatorcontrib><title>A lotus root-like appearance in carotid stenosis on optical coherence tomography</title><title>BMJ case reports</title><addtitle>BMJ Case Rep</addtitle><description>An 82-year-old man visited the outpatient clinic of our stroke centre because of dizziness. He had a previous history of stroke without definite sequelae. Severe stenosis in the left proximal internal carotid artery (ICA) was seen on Doppler sonography. Conventional angiography revealed focal severe stenosis with ‘string sign’ in the left proximal ICA and delayed distal run off. Optical coherence tomography showed multiple channels surrounding a narrowed central lumen (lotus root-like appearance). Carotid stent placement with a protection device was done without complications. The patient was discharged in good condition 5 days after the procedure.</description><subject>Aged, 80 and over</subject><subject>Angioplasty</subject><subject>Blood clots</subject><subject>Carotid arteries</subject><subject>Carotid Stenosis - complications</subject><subject>Carotid Stenosis - diagnostic imaging</subject><subject>Carotid Stenosis - surgery</subject><subject>Coronary vessels</subject><subject>Dizziness - diagnostic imaging</subject><subject>Dizziness - etiology</subject><subject>Humans</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Neuroimaging</subject><subject>Radiography</subject><subject>Stents</subject><subject>Stroke - complications</subject><subject>Tomography, Optical Coherence</subject><subject>Treatment Outcome</subject><subject>Veins & arteries</subject><issn>1757-790X</issn><issn>1757-790X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkU1LJDEQhoO4qLievUnAiwi9pjpJf1wEGfwCYfewgreQpKudjN2dNukW_PdmGBXdy-aSQD15qaqHkENgvwB4cWZsyHIGMmMARSW3yB6UsszKmj1sf3nvkoMYVywdDqISfIfs5rIu6xryPfLngnZ-miMN3k9Z556Q6nFEHfRgkbqBWh385BoaJxx8dJH6gfpxclZ31PolBlyDk-_9Y9Dj8vUn-dHqLuLB-71P7q8u_y5usrvf17eLi7vMCF7KTDYF8iavjOGs5RW2aFlTM5nXING0TQuFrYRtTKELaI1BMCx1XSdaQAGS75PzTe44mx4bi8MUdKfG4HodXpXXTn2vDG6pHv2LEoILLssUcPIeEPzzjHFSvYsWu04P6Oeo0kohrQikSOjxP-jKz2FI4ymohKxELmWRqLMNZYOPMWD72QwwtRamkjC1FqY2wtKPo68zfPIfehJwugFMv_pv2hs34J9v</recordid><startdate>20150514</startdate><enddate>20150514</enddate><creator>Chang, Hyukwon</creator><creator>Yoon, Hyuck Jun</creator><creator>Hong, Jeong-Ho</creator><creator>Kim, Chang-Hyun</creator><creator>Sohn, Sung-il</creator><creator>Lee, Chang-Young</creator><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20150514</creationdate><title>A lotus root-like appearance in carotid stenosis on optical coherence tomography</title><author>Chang, Hyukwon ; Yoon, Hyuck Jun ; Hong, Jeong-Ho ; Kim, Chang-Hyun ; Sohn, Sung-il ; Lee, Chang-Young</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b4375-5d6e3d28bb30f38efec0d9052915ebfdf16c84cdb6a61fbbe1b0259930f416153</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged, 80 and over</topic><topic>Angioplasty</topic><topic>Blood clots</topic><topic>Carotid arteries</topic><topic>Carotid Stenosis - complications</topic><topic>Carotid Stenosis - diagnostic imaging</topic><topic>Carotid Stenosis - surgery</topic><topic>Coronary vessels</topic><topic>Dizziness - diagnostic imaging</topic><topic>Dizziness - etiology</topic><topic>Humans</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Neuroimaging</topic><topic>Radiography</topic><topic>Stents</topic><topic>Stroke - complications</topic><topic>Tomography, Optical Coherence</topic><topic>Treatment Outcome</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chang, Hyukwon</creatorcontrib><creatorcontrib>Yoon, Hyuck Jun</creatorcontrib><creatorcontrib>Hong, Jeong-Ho</creatorcontrib><creatorcontrib>Kim, Chang-Hyun</creatorcontrib><creatorcontrib>Sohn, Sung-il</creatorcontrib><creatorcontrib>Lee, Chang-Young</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chang, Hyukwon</au><au>Yoon, Hyuck Jun</au><au>Hong, Jeong-Ho</au><au>Kim, Chang-Hyun</au><au>Sohn, Sung-il</au><au>Lee, Chang-Young</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A lotus root-like appearance in carotid stenosis on optical coherence tomography</atitle><jtitle>BMJ case reports</jtitle><addtitle>BMJ Case Rep</addtitle><date>2015-05-14</date><risdate>2015</risdate><volume>2015</volume><spage>bcr2015011685</spage><pages>bcr2015011685-</pages><issn>1757-790X</issn><eissn>1757-790X</eissn><abstract>An 82-year-old man visited the outpatient clinic of our stroke centre because of dizziness. He had a previous history of stroke without definite sequelae. Severe stenosis in the left proximal internal carotid artery (ICA) was seen on Doppler sonography. Conventional angiography revealed focal severe stenosis with ‘string sign’ in the left proximal ICA and delayed distal run off. Optical coherence tomography showed multiple channels surrounding a narrowed central lumen (lotus root-like appearance). Carotid stent placement with a protection device was done without complications. The patient was discharged in good condition 5 days after the procedure.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>25979912</pmid><doi>10.1136/bcr-2015-011685</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Aged, 80 and over Angioplasty Blood clots Carotid arteries Carotid Stenosis - complications Carotid Stenosis - diagnostic imaging Carotid Stenosis - surgery Coronary vessels Dizziness - diagnostic imaging Dizziness - etiology Humans Male Medical imaging Neuroimaging Radiography Stents Stroke - complications Tomography, Optical Coherence Treatment Outcome Veins & arteries |
| title | A lotus root-like appearance in carotid stenosis on optical coherence tomography |
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