ArticleNeurologia medico-chirurgica2015
Evaluation and management of plaque protrusion or thrombus following carotid artery stenting.
Article in Neurologia medico-chirurgica, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.
- A systematic review of application of frequency-domain optical coherence tomography in cerebral large artery atherosclerosis.Neuroradiology · 2025Pooled it
- Angiographically occult in-stent protrusion detected by intravascular ultrasound during carotid artery stenting: a case report.Journal of medical case reports · 2026Article
- Probable Delayed Plaque Protrusion After Carotid Artery Stenting With a Dual-Layer Micromesh Stent.JACC. Case reports · 2025Article
- Intraprocedural and Delayed Plaque Protrusion in Carotid Artery Stenting Using a Dual-Layer Metallic Stent.Journal of the Society for Cardiovascular Angiography & Interventions · 2024Article
- Subacute In-Stent Occlusion 2 Weeks after CASPER Rx Stenting: A Case Report.Journal of neuroendovascular therapy · 2023Article
- Intraprocedural Plaque Protrusion during Carotid Artery Stenting with a CASPER Stent: A Case Report.Journal of neuroendovascular therapy · 2023Article
- A Case of Acute In-Stent Mobile Plaque after Carotid Artery Stenting Aspirated with a Distal Access Catheter.Journal of neuroendovascular therapy · 2023Article
- A Case of Intraprocedural Plaque Protrusion during Carotid Artery Stenting Using the Stent-in-Stent Technique for Carotid Artery Stenosis with Unstable Plaque.Journal of neuroendovascular therapy · 2022Article
- Direct Stenting of Intracranial Atherosclerosis-related Acute Large Vessel Occlusion.Clinical neuroradiology · 2021Article
- Brachiocephalic artery stenting through the carotid artery: A case report and review of the literature.World journal of clinical cases · 2019Article
- Anticoagulant therapy for recurrent in-stent thrombosis following carotid artery stenting: A case report.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2017Article
- Calcification in original plaque and restenosis following carotid artery stenting.Surgical neurology international · 2017Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Carotid artery stenting (CAS) has become a common treatment for carotid artery stenosis. However, complications, such as an ischemic event, can occur with CAS during intra- and post-operative periods. Among these ischemic complications, plaque protrusion into the stent and thrombus on the stent have occurred after CAS. We retrospectively evaluated the temporal profile and treatment options for these complications in 32 consecutive cases who underwent CAS at our hospital between April 2009 and December 2011. The cases were evaluated pre-operatively for risk factors, as well as the plaque morphology and characteristics using computed tomographic angiography (CTA), ultrasound (US), and magnetic resonance imaging (MRI). Post-operatively, lesions were examined by CTA and/or US within 1 week of CAS. As a result, among the 32 cases, 8 experienced plaque protrusions or thrombus, which were treated with medication (anti-platelet and/or anti-coagulation reinforcement). In 7 of these 8 cases, the plaque protrusion or thrombus was stabilized with medication alone. However, the remaining case showed growth and migration of the plaque protrusion or thrombus when treated with medication alone, and therefore, required further endovascular treatment. We identified that a history of symptomatic cerebral infarction and plaques with ulceration were risk factors for plaque protrusion or thrombus formation after CAS, and pre dilatation can decrease the risk of these complications. Medication was effective in most cases of plaque protrusion or thrombus; however, further endovascular treatment was required when medication alone was unsuccessful.
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