Carotid Artery Stenting Using Balloon-Expandable Coronary Stent: Intentional Use for Staged Angioplasty

• Ezura Masayuki

  Department of Neurosurgery, NHO Sendai Medical Center, Sendai, Miyagi, Japan

• Kimura Naoto

  Department of Neurosurgery, Iwate Prefectural Central Hospital, Morioka, Iwate, Japan

• Sakata Hiroyuki

  Department of Neurosurgery, NHO Sendai Medical Center, Sendai, Miyagi, Japan

• Ishida Tomohisa

  Department of Neurosurgery, NHO Sendai Medical Center, Sendai, Miyagi, Japan

• Inoue Takashi

  Department of Neurosurgery, NHO Sendai Medical Center, Sendai, Miyagi, Japan

• Uenohara Hiroshi

  Department of Neurosurgery, NHO Sendai Medical Center, Sendai, Miyagi, Japan

Abstract

Objective: We report carotid artery stenting (CAS) using balloon-expandable coronary (BECo) stent. The materials in this study consist of 15 cases of high-grade stenosis in internal carotid artery (ICA) in which self-expanding carotid (SECa) stent was not utilized. There were two groups why BECo stent was used instead of SECa stent: alternative group and intentional group. The alternative group was subdivided into two groups: access difficulty of guiding catheter and access difficulty of SECa stent. Case Presentation: The alternative group included 11 cases (access difficulty of guiding catheter in 10 and access difficulty of SECa stent in 1), and the intentional group included 4 cases. There were four cases using transbrachial approach. All the intentional group cases were the first stage of staged angioplasty (SAP). The second stage of SAP was PTA in two and SECa stent over the BECo stent in two. There was no complication related to CAS. Conclusion: CAS using BECo stent is one of the choices for the first stage of SAP, if stent placement instead of PTA is required at the first stage. It is also the useful alternative for the patient having difficulty of SECa stent.

Journal

• Journal of Neuroendovascular Therapy

  Journal of Neuroendovascular Therapy 15 (9), 621-628, 2021

  The Japanese Society for Neuroendovascular Therapy

Keywords

• balloon-expandable stent
• coronary stent
• self-expanding stent
• carotid stent
• staged angioplasty

Details

• CRID: 1390007980298950528
• NII Article ID: 130008090514
• NII Book ID: AA1229439X
• DOI: 10.5797/jnet.tn.2020-0154
• ISSN: 21862494
• ISSN: 18824072
• NDL BIB ID: 031690277
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I031690277
• Web Site: https://www.jstage.jst.go.jp/article/jnet/15/9/15_tn.2020-0154/_pdf
• Text Lang: en
• Data Source:
  • JaLC
  • NDL
  • Crossref
  • CiNii Articles
  • KAKEN
• Abstract License Flag: Disallowed