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Case report
Carotid stent infection: a rare but potentially fatal complication of carotid artery stenting
  1. Seungnam Son1,2,
  2. Nack-Cheon Choi1,2,
  3. Dae Seob Choi2,3,
  4. Oh Hyun Cho4
  1. 1Department of Neurology, Gyeongsang National University School of Medicine, Jinju, Korea
  2. 2Gyeongnam Regional Cardiocerebrovascular Disease Center, Jinju, Korea
  3. 3Department of Radiology, Gyeongsang National University School of Medicine, Jinju, Korea
  4. 4Department of Internal Medicine, Gyeongsang National University School of Medicine, Jinju, Korea
  1. Correspondence to Professor Nack-Cheon Choi, Department of Neurology, Gyeongsang National University School of Medicine, 79 Gangnam-ro, Jinju, Republic of Korea; brevis1{at}naver.com

Abstract

Infections involving endovascular devices are rare and, to our knowledge, only three cases of infection with an inserted carotid stent have ever been reported. A 68-year-old man underwent carotid artery stenting (CAS) of the left proximal internal carotid artery. Two days after CAS the patient developed a high fever and investigation showed that the inserted carotid stent was infected. The infection could not be controlled despite adequate antibiotic therapy. Eventually a rupture of the carotid artery occurred and the patient underwent emergency resection of the left carotid bifurcation in addition to stent removal and reconstruction with a saphenous vein interposition graft. The patient recovered fully without any neurological sequelae.

  • Stent
  • Stroke

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