Carotid Artery Stenting in a Patient with Transient Ischemic Attack

Abstract

Stroke is the second cause of death in the world and 20-30% were caused by carotid artery stenosis. Today carotid artery stenting is emergency treatment of choice for carotid artery stenosis. The technique and management of the complication has been standardized. We report a 80-year old woman with syncope (neurology diagnosis was TIA) and history of past illness were diabetes, hypertension, and CAD. CT scan was normal. USG Doppler showed right carotid artery stenosis. Right carotid angiography showed stenosis more than 90%. We performed distal protection device, predilation and stenting with wall stent in right carotid artery. No residual stenosis was found. During stenting there were bradicardy and hypotension due to stent compression in carotid artery. No neurologic deficit was found. In 2-month follow-up there was no complaint.