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Carotid artery stenting

From Surgopaedia

Complications to CAS

  • Carotid dissection - usually due to overdilation of the artery
    • Probably just end up covering the dissection with the stent
  • Thrombosed filter
    • Leave in place and deploy aspirin catheter
    • Then remove filter
  • Stent thrombosis
    • May need to lyse clot with TPA
  • F/U: carotid duplex 1/12, 6/12. clopidogrel for 90 days. Statin for life.