TY - JOUR
T1 - Central retinal artery occlusion
T2 - A rare complication of carotid artery stenting
AU - Satheesh, Jijin
AU - Rao, M. Sudhakar
AU - Sharma, Vishal Chandra
AU - Lalani, Kanhai
AU - Ramachandran, Padmakumar
AU - Prabhu, Arvind N.
N1 - Publisher Copyright:
© 2021, Iranian Heart Association. All rights reserved.
PY - 2021
Y1 - 2021
N2 - Carotid artery stenting (CAS) has become a promising alternative to carotid endarterectomy in the management of atherosclerotic carotid artery disease. A 68-year-old woman with diabetes and hypertension presented with an ischemic infarct in the right precentral gyrus. The patient was diagnosed with carotid stenosis, and she underwent CAS. Severe postoperative complications in the form of decreased visual acuity and visual field defect arose, and she was eventually diagnosed with central retinal artery occlusion, resulting in a near-total loss of unilateral vision. CAS reduces carotid plaques; however, it can lead to significant shedding of carotid plaques, followed by retinal artery embolism and ultimately serious loss of vision. This complication is of paramount importance, and it requires ample consideration from the interventionist before CAS. Ophthalmic evaluation is vital following CAS, and it is imperative that patients be informed of the risk of permanent vision loss. We herewith emphasize preoperative visual assessment in patients undergoing carotid revascularization who have risk factors for ocular sequelae.
AB - Carotid artery stenting (CAS) has become a promising alternative to carotid endarterectomy in the management of atherosclerotic carotid artery disease. A 68-year-old woman with diabetes and hypertension presented with an ischemic infarct in the right precentral gyrus. The patient was diagnosed with carotid stenosis, and she underwent CAS. Severe postoperative complications in the form of decreased visual acuity and visual field defect arose, and she was eventually diagnosed with central retinal artery occlusion, resulting in a near-total loss of unilateral vision. CAS reduces carotid plaques; however, it can lead to significant shedding of carotid plaques, followed by retinal artery embolism and ultimately serious loss of vision. This complication is of paramount importance, and it requires ample consideration from the interventionist before CAS. Ophthalmic evaluation is vital following CAS, and it is imperative that patients be informed of the risk of permanent vision loss. We herewith emphasize preoperative visual assessment in patients undergoing carotid revascularization who have risk factors for ocular sequelae.
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M3 - Article
AN - SCOPUS:85117074890
SN - 1735-7306
VL - 22
SP - 159
EP - 163
JO - Iranian Heart Journal
JF - Iranian Heart Journal
IS - 4
ER -