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• Vol.62 No.10
• CLINICA NEUROL, 62: 801−804, 2022
• Vol.62 No.10 contents

Brief Clinical Note

Carotid artery stenting using cerebral angiography 3D fusion imaging without contrast agent:a case report

Miho Yamada, M.D.¹⁾, Jun Tsugawa, M.D.¹⁾, Kouhei Nii, M.D.²⁾, Ritsurou Inoue, M.D.²⁾, Yoshio Tsuboi, M.D.³⁾ and Toshio Higashi, M.D.¹⁾²⁾

¹⁾ Stroke center, Fukuoka University Chikushi Hospital
²⁾ Department of Neurosurgery, Fukuoka University Chikushi Hospital
³⁾ Department of Neurology, Fukuoka University School of Medicine

A 79-year-old-man with a clinical history of type 2 diabetes and hypertension was admitted to our hospital for recurrent right hemiparesis. He was referred to our department with left internal carotid artery stenosis. Cerebral angiography with a slight contrast agent revealed NASCET 86% stenosis at the left internal carotid bifurcation. Although no neurological deficit was observed, he had a renal dysfunction with an estimated glomerular filtration rate of 32.2 ml/min/1.73 m². We used a 3D fusion image obtained from the initial angiography with B-mode and intravascular ultrasound to avoid aggravating renal function instead of using a contrast medium. Following the procedure, favorable expansion of the stenotic region was achieved, and no evidence of recurrence was seen during the follow-up period. 3D fusion imaging is a valuable and safe method for endovascular treatment of carotid artery stenosis for patients with renal dysfunction.
Full Text of this Article in Japanese PDF (1917K)

(CLINICA NEUROL, 62: 801−804, 2022)
key words: carotid artery stenosis, carotid artery stenting, chronic kidney disease, 3D fusion image

(Received: 11-Apr-22)