Subclinical embolization after carotid artery stenting: New lesions on diffusion-weighted magnetic resonance imaging occur postprocedure Joseph H. Rapp,

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Presentation transcript:

Subclinical embolization after carotid artery stenting: New lesions on diffusion-weighted magnetic resonance imaging occur postprocedure Joseph H. Rapp, MD, Laura Wakil, BA, Rajiv Sawhney, MD, Xian Mang Pan, MD, Midori A. Yenari, MD, Christine Glastonbury, MD, Sheila Coogan, MD, Max Wintermark, MD Journal of Vascular Surgery Volume 45, Issue 5, Pages 867-874 (May 2007) DOI: 10.1016/j.jvs.2006.12.058 Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 1 Diffusion-weighted images before, 1 hour, and 48 hours after carotid stenting show three small, new lesions in the right hemisphere. Journal of Vascular Surgery 2007 45, 867-874DOI: (10.1016/j.jvs.2006.12.058) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 2 A, Preprocedural and B, postprocedural views of a critical internal carotid lesion. Note the continued presence of a small area of luminal irregularity extending outside the stent. Journal of Vascular Surgery 2007 45, 867-874DOI: (10.1016/j.jvs.2006.12.058) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 3 Debris recovered from an embolic protection device. The range of sizes includes atherosclerotic tissue fragments above and below 100 μm in size. Journal of Vascular Surgery 2007 45, 867-874DOI: (10.1016/j.jvs.2006.12.058) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions