A Patient with Carotid Mobile Plaques Treated by Carotid Artery Stenting Using a Double-layer Micromesh Stent

Shuntaro Kuwahara; Hidetoshi Matsukawa; Kiyofumi Yamada; Kazutaka Uchida; Manabu Shirakawa; Shinichi Yoshimura

doi:10.5797/jnet.cr.2019-0045

A Patient with Carotid Mobile Plaques Treated by Carotid Artery Stenting Using a Double-layer Micromesh Stent

J Neuroendovasc Ther. 2020;14(11):495-500. doi: 10.5797/jnet.cr.2019-0045. Epub 2020 Sep 3.

Authors

Shuntaro Kuwahara^{1

2}, Hidetoshi Matsukawa², Kiyofumi Yamada², Kazutaka Uchida², Manabu Shirakawa², Shinichi Yoshimura²

Affiliations

¹ Department of Neurosurgery, Goshi Hospital, Amagasaki, Hyogo, Japan.
² Department of Neurosurgery, Hyogo College of Medicine, Nishinomiya, Hyogo, Japan.

Abstract

Objective: We report a case of carotid mobile plaques treated by carotid artery stenting (CAS) using a double-layer micromesh stent (CASPER stent).

Case presentation: An 86-year-old male presented with lightheadedness. Carotid artery ultrasound revealed mobile plaques in the right internal carotid artery (ICA). Head and neck MRI demonstrated concomitant left ICA occlusion. We first started medical treatment, but it could not reduce the plaque size. Then, we performed CAS using a CASPER stent in addition to medical treatment. The procedure was finished without complications, and there was no plaque protrusion. The postoperative course was uneventful during 3 years of follow-up.

Conclusion: A mobile plaque of the carotid artery may be treated less-invasively with a micromesh stent.

Keywords: carotid artery stenting; double layer micromesh stent; mobile plaque; vulnerable plaque.

Publication types

Case Reports