Carotid stent occlusion with persistent flow

Published: 03/31/2012

Authors: de Borst G and Moll F

A 77-year-old man presented with transient motory weakness of his left hand. Computed tomographic angiography (CTA) showed bilateral internal carotid artery (ICA) stenosis ≥70 per cent. The patient underwent successful stenting of his symptomatic right ICA stenosis with the stent covering the external carotid artery (ECA) origin. Control CTA 1 month later revealed an asymptomatic ICA occlusion with patent flow through the common carotid part of the stent into the ECA. During 24 months of follow-up, the patient remained symptom-free.