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Contralateral microemboli following carotid artery stenting in patients with a contralateral internal carotid artery occlusion JOURNAL OF VASCULAR SURGERY Casey, K., Hitchner, E., Lane, B., Zhou, W. 2013; 58 (3): 794-797

Abstract

Subclinical microembolization identified on diffusion-weighted magnetic resonance imaging is recognized as an important outcome measure for carotid revascularization procedures. It is generally believed that arch manipulation is the primary reason for developing microemboli in the contralateral hemisphere during carotid artery stenting. However, we identified three patients who developed postprocedure microemboli of the contralateral hemisphere despite a known chronic contralateral internal carotid artery occlusion. Our cases highlight that ipsilateral microemboli may be an underappreciated but an important source of contralateral lesions through patent intracranial collateral pathways.

View details for DOI 10.1016/j.jvs.2012.11.114

View details for Web of Science ID 000323616800032