TY - JOUR
T1 - Endovascular management of carotid artery stenosis secondary to sclerosing mediastinitis
AU - Smolock, Christopher J.
AU - Blackmon, Shanda
AU - Garami, Zsolt
AU - Hassoun, Heitham T.
PY - 2012/8
Y1 - 2012/8
N2 - Sclerosing mediastinitis is a rare, progressive condition characterized by extensive fibrotic reaction. We report the first known case of symptomatic, extrinsic compression of the carotid artery by fibrotic extension of sclerosing mediastinitis. A 54-year-old woman began experiencing neurologic symptoms from extension of a known mediastinal mass resulting in 70% to 79% stenosis of the right internal carotid artery. The stenosis was treated with endovascular stenting. Completion angiogram revealed a good result with <10% residual stenosis. At 18-month follow-up, the patient was symptom free without evidence of re-stenosis. Endovascular therapy provides a novel and durable solution in the midterm to this very rare problem.
AB - Sclerosing mediastinitis is a rare, progressive condition characterized by extensive fibrotic reaction. We report the first known case of symptomatic, extrinsic compression of the carotid artery by fibrotic extension of sclerosing mediastinitis. A 54-year-old woman began experiencing neurologic symptoms from extension of a known mediastinal mass resulting in 70% to 79% stenosis of the right internal carotid artery. The stenosis was treated with endovascular stenting. Completion angiogram revealed a good result with <10% residual stenosis. At 18-month follow-up, the patient was symptom free without evidence of re-stenosis. Endovascular therapy provides a novel and durable solution in the midterm to this very rare problem.
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U2 - 10.1016/j.jvs.2012.01.058
DO - 10.1016/j.jvs.2012.01.058
M3 - Article
C2 - 22560235
AN - SCOPUS:84864438702
SN - 0741-5214
VL - 56
SP - 492
EP - 495
JO - Journal of Vascular Surgery
JF - Journal of Vascular Surgery
IS - 2
ER -