Evidence map›Paper›PMID 36324943›Full record

ArticleSurgical neurology international2022

Carotid artery stenosis concomitant with severe aortic stenosis treated by combination of staged angioplasty and transcatheter aortic valve implantation: A case report.

Ryosuke Shintoku, Mikito Hayakawa, Tomoya Hoshi, Sho Okune, Takato Hiramine, Toshihide Takahashi, Hisayuki Hosoo, Yoshiro Ito, Aiki Marushima, Eiichi Ishikawa and 1 more

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In one paragraph

Article in Surgical neurology international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Ryosuke ShintokuDepartment of Neurosurgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.
Mikito HayakawaDivision of Stroke Prevention and Treatment, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.
Tomoya HoshiDepartment of Cardiology, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.
Sho OkuneDepartment of Stroke and Cerebrovascular Diseases, University of Tsukuba Hospital, Tsukuba, Japan.
Takato HiramineDepartment of Stroke and Cerebrovascular Diseases, University of Tsukuba Hospital, Tsukuba, Japan.
Toshihide TakahashiDepartment of Neurosurgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.
Hisayuki HosooDepartment of Neurosurgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.
Yoshiro ItoDepartment of Neurosurgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.
Aiki MarushimaDepartment of Neurosurgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.
Eiichi IshikawaDepartment of Neurosurgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.
Yuji MatsumaruDepartment of Neurosurgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: When severe aortic stenosis (AS) is concomitant with carotid stenosis, carotid artery stenting (CAS) will become a high-risk procedure because baroreceptor reflex-induced bradycardia and hypotension may cause irreversible circulatory collapse. When carotid stenosis-related misery perfusion is present, the risk of cerebral hyperperfusion syndrome increases after carotid revascularization. We report a case of severe carotid disease concomitant with severe AS successfully treated by a combination of staged angioplasty (SAP) and transcatheter aortic valve implantation (TAVI). Case Description: An 86-year-old man presented with transient deterioration of mental status and sluggish responsiveness continuous from the previous day. Magnetic resonance imaging of the brain revealed a right putaminal infarction, occlusion of the right internal carotid artery (ICA), and severe stenosis of the left ICA. Severe AS was diagnosed and single-photon emission computed tomography showed misery perfusion at the bilateral ICA territories. We performed a staged treatment consisting of SAP for the left carotid stenosis and TAVI. A first-stage carotid angioplasty was performed, followed by TAVI 2 weeks later and second-stage CAS 1 week after that. There were no apparent periprocedural complications throughout the clinical course. Conclusion: Combining SAP and TAVI may be an effective treatment option for severe carotid stenosis with misery perfusion concomitant with severe AS.

Indexed as

Carotid artery stentingCerebral hyperperfusion syndromeSevere aortic stenosisStaged angioplastyTranscatheter aortic valve implantation

Identifiers

PMID36324943
PMCPMC9610214

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