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CAROTIDEA ARTERIOSCLEROSIS_CASE 001/05 |
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CAROTIDEA ARTERIOSCLEROSIS
ENDOLUMINAL PROCEDURE – CAROTID STENT
CASO 001/05
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74-year-old Man, with antecedents of arterial hypertension (HTA), and brain vascular accident (BVA) in territory of the left average cerebral artery 6 weeks ago.
Ultrasound Doppler color reports plate ulcerated in the left carotid bulb associated to an estenosis approximate of 50% of the light. Verified in angiography (FIG 1).
We carry out end luminal procedure by means of the establishment of an autoexpandible stent , achieving the reestablishment of the normal caliber of the carotid and the cover up of the wound ulcerated, diminishing in this manner the risk of subsequent embolisms.
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Fig1
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| PRE-PROCEDURE |
fig2
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FIG 2 Liberation of the stent between the common arteries and internal carotid. Observe the mark carried out by the wound.
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| POST-PROCEDURE |
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FIG
3 Arteriografía control post-proceDURE, in which the re-establishment of the carotide light is observed and the exclusion of the flow inside it ulcerates.
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| CONCLUSIONS |
| The processing endovascular of arteriosclerotic carotid wounds offers an efficient alternative and minimally invasive for the primary and secondary prevention of the ischemic cerebrovascular illness in cases selected. |
Pretreatment
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Postreatment
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| MATERIALS UTILIZED |
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Woman of 58 years of age who presents frontal migraine of oppressive type, followed by sensation of sicknesses and loss of consciousness.
Man of 49 years of age who begins a month ago with symptoms of intermittent yielding to the few meters. After physical exam emphasizes the absence of poplíteo pulse and distant in right lower member. 
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