Rapid progression of carotid artery atherosclerosis and stenosis in a patient with a ventricular assist device James A. Saltsman, MD, MPH, Reid A. Ravin,

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Presentation transcript:

Rapid progression of carotid artery atherosclerosis and stenosis in a patient with a ventricular assist device James A. Saltsman, MD, MPH, Reid A. Ravin, MD, Peter L. Faries, MD, Rami Tadros, MD Journal of Vascular Surgery Cases and Innovative Techniques Volume 2, Issue 2, Pages 40-42 (June 2016) DOI: 10.1016/j.jvsc.2016.02.008 Copyright © 2016 The Authors Terms and Conditions

Fig 1 Representative images from duplex ultrasound examination of the right internal carotid artery (ICA) obtained at various time points. A, Before left ventricular assist device (LVAD) placement, duplex ultrasound shows elevated velocities consistent with moderate stenosis. ED, End diastole; PS, peak systole. B, At the time of transient ischemic attack (TIA) and before carotid endarterectomy, duplex ultrasound demonstrates high peak systolic velocity (PSV) as well as elevated end-diastolic velocity, decreased pulse pressure, and flow turbulence, indicating severe stenosis. C, After carotid endarterectomy and cardiac transplantation, duplex ultrasound demonstrates more normal flow dynamics. Journal of Vascular Surgery Cases and Innovative Techniques 2016 2, 40-42DOI: (10.1016/j.jvsc.2016.02.008) Copyright © 2016 The Authors Terms and Conditions

Fig 2 Representative image from computed tomography angiography of the neck obtained after the patient developed left leg weakness consistent with transient ischemic attack (TIA). The arrow indicates an area of significant carotid plaque and stenosis. Journal of Vascular Surgery Cases and Innovative Techniques 2016 2, 40-42DOI: (10.1016/j.jvsc.2016.02.008) Copyright © 2016 The Authors Terms and Conditions