Annals of Indian Academy of Neurology
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GRAND ROUND
Year : 2022  |  Volume : 25  |  Issue : 4  |  Page : 715-717

Carotid artery stenting for a nonagenarian presenting as stuttering stroke


1 Department of Neurology, All India Institute of Medical Sciences, New Delhi, India
2 Department of Neuroimaging and Interventional Neuroradiology, All India Institute of Medical Sciences, New Delhi, India
3 Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India
4 Department of Neuro-anesthesiology, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Arunmozhimaran Elavarasi
Department of Neurology, Room No 706, All India Institute of Medical Sciences, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aian.aian_14_22

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Carotid artery stenting (CAS) is performed in patients with minor strokes and transient ischemic attacks (TIAs) to prevent further strokes. However, most operators do not intervene in older adults. We had a 92-year patient with recurrent minor strokes with two possible proximate causes – cardioembolism and significant symptomatic left carotid stenosis. This patient continued to have recurrent ischemic events in the left carotid territory despite optimum management of the cardioembolic source with dual antiplatelets and anticoagulation and was successfully treated with left CAS. The role of carotid revascularization in older patients with high-grade symptomatic carotid stenosis and cardiac comorbidities is discussed.


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