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Research ArticleINTERVENTIONAL

Carotid Artery Stenting for Calcified Lesions

M. Tsutsumi, H. Aikawa, M. Onizuka, M. Iko, T. Kodama, K. Nii, S. Hamaguchi, H. Etou, K. Sakamoto and K. Kazekawa
American Journal of Neuroradiology September 2008, 29 (8) 1590-1593; DOI: https://doi.org/10.3174/ajnr.A1126
M. Tsutsumi
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H. Aikawa
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M. Onizuka
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M. Iko
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T. Kodama
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K. Nii
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S. Hamaguchi
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H. Etou
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K. Sakamoto
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K. Kazekawa
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    Fig 1.

    Maximum intensity projection (A) and sagittal reformat (B) of a CT angiogram reveal left internal carotid artery (ICA) stenosis with severe calcification. The entire circumference of the ICA (C) and the circumference of the calcified plaque (D) on the axial source image are measured at the narrowest portion of the ICA. The arc (degree) of the calcification is calculated as: arc = external circumference of the calcified plaque/external circumference of the carotid artery ×360°.

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    Fig 2.

    Illustrative case (an 81-year-old woman). A, Left common carotid artery (CCA) angiogram demonstrates severe stenosis of the internal carotid artery (ICA) with heavy calcification. B, The maximum intensity projection CT angiogram reveals severe calcification at the bifurcation of the carotid artery. C, At the narrowest portion of the ICA, the arc of the plaque calcification is 342°. D, Left CCA angiogram demonstrates excellent dilation. There is a 5% residual stenosis of the lesion after CAS.

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    Fig 3.

    The arc of calcium is plotted against the residual stenosis after CAS. The units represent the degrees of calcium arc by labeling the x-axis. There is a good correlation between these 2 variables (r = 0.6, P < .001).

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American Journal of Neuroradiology: 29 (8)
American Journal of Neuroradiology
Vol. 29, Issue 8
September 2008
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Cite this article
M. Tsutsumi, H. Aikawa, M. Onizuka, M. Iko, T. Kodama, K. Nii, S. Hamaguchi, H. Etou, K. Sakamoto, K. Kazekawa
Carotid Artery Stenting for Calcified Lesions
American Journal of Neuroradiology Sep 2008, 29 (8) 1590-1593; DOI: 10.3174/ajnr.A1126

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Carotid Artery Stenting for Calcified Lesions
M. Tsutsumi, H. Aikawa, M. Onizuka, M. Iko, T. Kodama, K. Nii, S. Hamaguchi, H. Etou, K. Sakamoto, K. Kazekawa
American Journal of Neuroradiology Sep 2008, 29 (8) 1590-1593; DOI: 10.3174/ajnr.A1126
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  • Assessment of Calcified Carotid Plaque Volume: Comparison of Contrast-Enhanced Dual-Energy CT Angiography and Native Single-Energy CT
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    American Journal of Roentgenology 2011 196 6
  • Fragmentation of calcified plaque after carotid artery stenting in heavily calcified circumferential stenosis
    Masanori Tsutsumi, Tomonobu Kodama, Hiroshi Aikawa, Masanari Onizuka, Minoru Iko, Kouhei Nii, Shuko Hamaguchi, Housei Etou, Kimiya Sakamoto, Ritsurou Inoue, Hiroya Nakau, Kiyoshi Kazekawa
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  • A Manual Carotid Compression Technique to Overcome Difficult Filter Protection Device Retrieval during Carotid Artery Stenting
    Kouhei Nii, Kanji Nakai, Masanori Tsutsumi, Hiroshi Aikawa, Minoru Iko, Kimiya Sakamoto, Takafumi Mitsutake, Ayumu Eto, Hayatsura Hanada, Kiyoshi Kazekawa
    Journal of Stroke and Cerebrovascular Diseases 2015 24 1
  • Effects of plaque characteristics and artery hemodynamics on the residual stenosis after carotid artery stenting
    Lingyun Jia, Yang Hua, Liqun Jiao, Yan Ma, Yingqi Xing, Lijuan Wang, Pinjing Hui, Xiaofang Pan, Yalan Fang, Tao Peng, Xuan Meng, Haohui Zhu, Chunxia Wu, Yuanyuan Yan, Bing Han, Jie Yang, Nan Zhang, Ke Zhang, Duo Xu
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