Domanin Maurizio, Isalberti Maurizio, Romagnoli Silvia, Rolli Antonio, Sommaruga Simona
Department of Clinical Science and Community Health, University of Milan, Milan, Italy.
Operative Unit of Vascular Surgery, I.R.C.C.S. Fondazione Cà Granda Ospedale Maggiore Policlinico, Milan, Italy.
J Vasc Surg Cases Innov Tech. 2017 May 4;3(2):83-86. doi: 10.1016/j.jvscit.2016.12.004. eCollection 2017 Jun.
Concerns about carotid artery stenting (CAS) center primarily on procedural complications like acute occlusion, stroke, and long-term intrastent restenosis. External carotid artery (ECA) thrombosis is observed during CAS follow-up, but it often remains asymptomatic or, at worst, results in jaw claudication. We report here a case of late occlusion of the ECA after CAS with symptoms of acute homolateral facial ischemia as well as pain, cyanosis, tongue numbness, and skin coldness. The patient was submitted to local thrombolysis and balloon angioplasty with regression of symptoms after recanalization. With this report, we add a caveat about blockage of the ECA ostium during CAS.
对颈动脉支架置入术（CAS）的担忧主要集中在诸如急性闭塞、中风和长期支架内再狭窄等手术并发症上。在CAS随访期间观察到颈外动脉（ECA）血栓形成，但通常无症状，或者在最坏的情况下，导致颌部跛行。我们在此报告一例CAS术后ECA晚期闭塞的病例，伴有急性同侧面部缺血症状以及疼痛、发绀、舌麻木和皮肤发冷。患者接受了局部溶栓和球囊血管成形术，再通后症状缓解。通过本报告，我们对CAS期间ECA开口处阻塞提出警示。
