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Case Reports
. 2006 Winter;6(2):84-5.

Multiple retinal emboli following a new carotid stenting procedure

Richard J Hesse, Anthony J Culotta, Stephen R Ramee, Zola N'dandu
Case Reports

Multiple retinal emboli following a new carotid stenting procedure

Richard J Hesse et al. Ochsner J. 2006 Winter.

Abstract

This report discusses the observation of multiple retinal emboli following placement of a new carotid stenting device. Especially dense plaques in the carotid artery can shatter into dust-like particles that may be fine enough to penetrate the filter of the new device, thus posing the danger of retinal perfusion.

Keywords: carotid stenting; retinal emboli.

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Figures

Figure 1.
Figure 1.
Fluorescein angiogram picture of patchy hypofluorescence
Figure 2.
Figure 2.
Fundus view of multiple emboli lodged in distal retinal arteries
See this image and copyright information in PMC

References

    1. CaRESS Steering Committee. Carotid revascularization using endarterectomy or stenting systems (CaRESS) phase I clinical trial: 1-year results. J Vasc Surg. 2005;42:213–219. - PubMed
    1. Hollenhorst R. W. Significance of bright plaques in the retinal arterioles. JAMA. 1961;178:23–29. - PubMed
    1. Bierly J. R., Dunn J. P. Macular edema after carotid endarterectomy in ocular ischemic syndrome. Am J Ophthalmol. 1992;113:105–107. - PubMed

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