Mobile Atheroma in the Left Internal Carotid Artery: A Case of Impending Doom!

被引：0

作者：

Zughaib, Marc T. ^{[1
]}

Chowdhury, Medhat ^{[1
]}

Assaf, Andrew D. ^{[1
]}

Aldaoud, Mathhar ^{[1
]}

Zughaib, Marcel E. ^{[1
]}

机构：

[1] Michigan State Univ, Coll Human Med, Ascens Providence Hosp, Dept Cardiol, Southfield, MI 48075 USA

来源：

CUREUS JOURNAL OF MEDICAL SCIENCE | 2023年 / 15卷 / 12期

关键词：

interventional cardiology; cardiology; mobile atheroma; carotid artery disease; carotid stent; STROKE; MANAGEMENT; PLAQUES; DISEASE;

D O I：

10.7759/cureus.51181

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 69-year-old male presented for evaluation of a carotid bruit. Carotid ultrasound demonstrated the unique finding of a large, highly mobile atheroma in the proximal left internal carotid artery. The presence of a mobile atheroma confers an even higher risk of stroke, so this presentation posed a dilemma in terms of endovascular versus open surgical management strategies. In patients with carotid artery disease, the risk of stroke is related to plaque rupture and distal embolization. The patient underwent successful carotid stenting without periprocedural complications. Our case reports the unusual occurrence of a highly mobile atheroma as the initial presentation of carotid artery disease treated safely with percutaneous carotid artery stenting.

引用

页数：9

共 17 条

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