PT - JOURNAL ARTICLE AU - Ko, Jun Kyeung AU - Choi, Chang Hwa AU - Lee, Sang Weon AU - Lee, Tae Hong TI - Emergency placement of stent-graft for symptomatic acute carotid artery occlusion after endarterectomy AID - 10.1136/bcr-2014-011553 DP - 2015 Jan 30 TA - BMJ Case Reports PG - bcr2014011553 VI - 2015 4099 - http://casereports.bmj.com/content/2015/bcr-2014-011553.short 4100 - http://casereports.bmj.com/content/2015/bcr-2014-011553.full AB - A patient underwent a left-sided carotid endarterectomy (CEA) for an asymptomatic 80% carotid artery (CA) stenosis. There were no signs of intolerance during the carotid cross-clamping and an initially uneventful awakening was observed. However, in the third postoperative hour he experienced left amaurosis and dysarthria. An urgent MRI showed an occluded internal CA on the operated site without evidence of acute infarction. To recanalize the occluded internal CA and minimize leakage from the arteriotomy site, a self-expandable stent-graft was placed, covering the dissection and the distal atherosclerotic lesions. Complete recanalization of the left internal CA was achieved and the patient showed a dramatic improvement of his preoperative deficits. To our knowledge, this is the first case of stent-graft implantation for a symptomatic acute CA occlusion following CEA. Stent-graft placement should be considered as an alternative method of treatment for acute CA occlusion or dissection following CEA.