Acute hemifacial ischemia as a late complication of carotid stenting

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Presentation transcript:

Acute hemifacial ischemia as a late complication of carotid stenting Maurizio Domanin, MD, Maurizio Isalberti, MD, Silvia Romagnoli, MD, Antonio Rolli, MD, Simona Sommaruga, MD  Journal of Vascular Surgery Cases and Innovative Techniques  Volume 3, Issue 2, Pages 83-86 (June 2017) DOI: 10.1016/j.jvscit.2016.12.004 Copyright © 2017 The Author(s) Terms and Conditions

Fig 1 Cyanosis and patchy discoloration of the skin of the right hemiface secondary to external carotid artery (ECA) thrombosis. Journal of Vascular Surgery Cases and Innovative Techniques 2017 3, 83-86DOI: (10.1016/j.jvscit.2016.12.004) Copyright © 2017 The Author(s) Terms and Conditions

Fig 2 a, Selective right carotid arteriography. Complete occlusion of the right external carotid artery (ECA) with conserved patency of the superior thyroidal artery (STA) and partial intrastent restenosis of the internal carotid artery (ICA). VA, Vertebral artery. b, Initial partial recanalization of the ECA after local thrombolysis and passage of the 0.035-inch hydrophilic guidewire and diagnostic catheter across the stent cells. Journal of Vascular Surgery Cases and Innovative Techniques 2017 3, 83-86DOI: (10.1016/j.jvscit.2016.12.004) Copyright © 2017 The Author(s) Terms and Conditions

Fig 3 a, Final result after local thrombolysis and angioplasty of the external carotid artery (ECA). ICA, Internal carotid artery. b, Recovery from hemiface ischemia obtained after revascularization. Journal of Vascular Surgery Cases and Innovative Techniques 2017 3, 83-86DOI: (10.1016/j.jvscit.2016.12.004) Copyright © 2017 The Author(s) Terms and Conditions