Carotid artery stenting for a nonagenarian presenting as stuttering stroke Saman Fatima1, Ajay Garg2, Leve Joseph2, MV Padma Srivastava1, Deepti Vibha1, Raghav Bansal3, Ashish Bindra4, Manjari Tripathi1, Rajesh Kumar Singh1, Arunmozhimaran Elavarasi1


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Carotid artery stenting for a nonagenarian presenting as stuttering stroke Saman Fatima¹, Ajay Garg², Leve Joseph², MV Padma Srivastava¹, Deepti Vibha¹, Raghav Bansal³, Ashish Bindra⁴, Manjari Tripathi¹, Rajesh Kumar Singh¹, Arunmozhimaran Elavarasi¹ 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 Source of Support: None, Conflict of Interest: None DOI: 10.4103/aian.aian_14_22

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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    -  Fatima S
    -  Garg A
    -  Joseph L
    -  Padma Srivastava M V
    -  Vibha D
    -  Bansal R
    -  Bindra A
    -  Tripathi M
    -  Singh RK
    -  Elavarasi A

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