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Crevice sign as an indicator of plaque laceration associated with postoperative severe thromboembolism after carotid artery stenting : a case report
https://doi.org/10.18999/nagjms.79.4.559
https://doi.org/10.18999/nagjms.79.4.55994645e24-14e5-4f7a-8360-25d0843bf340
名前 / ファイル | ライセンス | アクション |
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2017-11-24 | |||||
タイトル | ||||||
タイトル | Crevice sign as an indicator of plaque laceration associated with postoperative severe thromboembolism after carotid artery stenting : a case report | |||||
著者 |
Ohshima, Tomotaka
× Ohshima, Tomotaka× Yamamoto, Taiki× Goto, Shunsaku× Ishikawa, Kojiro× Nishizawa, Toshihisa× Shimato, Shinji |
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キーワード | ||||||
主題Scheme | Other | |||||
主題 | carotid artery stenosis | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | carotid artery stenting | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | complication | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | plaque | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | thromboembolism | |||||
抄録 | ||||||
内容記述 | Carotid artery stenting (CAS) is increasingly utilized in patients with carotid artery stenosis. Various intraprocedural and postprocedural complications have been reported in the literature. We present a case of symptomatic major thromboembolism after CAS. The intraprocedural angiogram showed extraordinary slow filling of the contrast medium into the plaque, which we named as “crevice sign.” An 83-year-old man presented repeat right amaurosis fugax for 6 months. The radiological examinations revealed 85% stenosis of the origin of the right internal carotid artery. The patient underwent right CAS. The procedure was performed without any problems; however, the angiogram showed slow filling of contrast medium into the carotid plaque through the stent (crevice sign). Sixty minutes later in the ward, the patient presented sudden onset of left hemiparesis and aphasia. Emergency catheter angiography did not show in-stent thrombus, major artery occlusion, or the crevice sign. Magnetic resonance imaging on the next day revealed wide acute infarction of the right cerebral hemisphere. Physicians should be aware of the intraprocedural crevice sign so that a subsequent catastrophic ischemic event can be prevented. | |||||
内容記述タイプ | Abstract | |||||
出版者 | ||||||
出版者 | Nagoya University Graduate School of Medicine, School of Medicine | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源 | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | departmental bulletin paper | |||||
ID登録 | ||||||
ID登録 | 10.18999/nagjms.79.4.559 | |||||
ID登録タイプ | JaLC | |||||
ISSN(print) | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0027-7622 | |||||
書誌情報 |
Nagoya Journal of Medical Science 巻 79, 号 4, p. 559-564, 発行日 2017-11 |
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著者版フラグ | ||||||
値 | publisher | |||||
URI | ||||||
識別子 | http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/794.html | |||||
識別子タイプ | URI | |||||
URI | ||||||
識別子 | http://hdl.handle.net/2237/27125 | |||||
識別子タイプ | HDL |