alexa An Uncommon Case of Carotid Artery Tandem Lesion - Difficult Management Decision and Literature Review
ISSN: 2167-0870

Journal of Clinical Trials
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Case Report

An Uncommon Case of Carotid Artery Tandem Lesion - Difficult Management Decision and Literature Review

Shoaib RF*, O’Brien A, Siddique A, Sinha DM, Lognathan T and Guyler PC
Department of Stroke Medicine, Southend University Hospital, Prittlewell chase, Southend on sea SS0 0RY, UK
Corresponding Author : Shoaib RF
Acute Stroke Registrar, Department of Stroke Medicine
Southend University Hospital
Southend-on-Sea, SS0 0RY, UK
E-mail: [email protected]
Received August 19, 2013; Accepted September 27, 2013; Published September 30, 2013
Citation: Shoaib RF, O’Brien A, Siddique A, Sinha DM, Lognathan T, et al. (2013) An Uncommon Case of Carotid Artery Tandem Lesion - Difficult Management Decision and Literature Review. J Clin Trials 3:143. doi:10.4172/2167-0870.1000143
Copyright: © 2013 Shoaib RF, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

We report a case of 84 years old lady who was admitted to our acute stroke unit with two episodes of tingling and numbness in left arm over last seventy two hours. Magnetic Resonance Imaging (MRI) showed right posterior parietal infarction. Subsequent carotid vascular imaging confirmed right internal carotid artery and right brachiocephalic significant stenosis. Her case was discussed in stroke/vascular surgery multidisciplinary team meeting and than with interventional radiology team at one of our tertiary referral centres and she was transferred. She underwent retrograde angioplasty with stent insertion at right brachiocephalic origin. Carotid endarterectomy was deferred as a preprocedure carotid angiogram showed right internal carotid artery stenosis of less than 50%. She made very good recovery with no complications and was discharged from hospital on day seven.

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