Recurrent Ischemic Stroke after Carotid Artery Stenting for Thyroid Cartilage Induced CCA Stenosis: Was…

Abstract

Mechanical stimulation of the common carotid artery (CCA) by the hyoid bone or thyroid cartilage can cause common carotid artery (CCA) stenosis and cerebral infarction. A 71-year-old man presented with symptomatic CCA stenosis. Imaging revealed CCA plaque at the site of contact with the thyroid cartilage, and ultrasonography revealed dynamic compression during swallowing. Despite technically successful carotid artery stenting, infarctions can recur without typical stent-related complications. The plaque may be trapped by the stent under persistent external mechanical stress, resulting in intermittent protrusions. Additional stenting prevented the recurrence. This case highlights the importance of considering external mechanical factors when selecting a treatment strategy.

Recurrent Ischemic Stroke Despite Dabigatran Therapy: Unexpectedly Low Anti-IIa Activity Revealing Pharmacokinetic Treatment Failure.
Nouhaila Bentama, Tagueniti Jalal, Said Hamdan +1
Cureus23 Sep 2026Peer-reviewedCC BYFull textCardiovascular medicineEurope PMC
Non-ischemic cerebral enhancing (NICE) lesions after extracranial carotid stenting: A case report
Jonas von Itter MD, Marc-Nicolas von Itter MD, Lucia Härtel MD +6
Therapeutic Advances in Neurological Disorders23 Oct 2026Peer-reviewedCC BYFull textNeurologyDOAJ
Remote ischemic conditioning plus stenting for symptomatic carotid artery stenosis (RICSICAS): rationale and design
Jing Qiu, Wei Li, Yong-Gang Zhao +3
Frontiers in neurology30 Sep 2026Peer-reviewedCC BYFull textNeurologyEurope PMCCrossref
Serial measurements of Growth Differentiation Factor-15 in patients with Non-ST-Elevation Acute Coronary Syndrome and recurrent ischemic events
K. Chen, R. Zhang, X. Rao +2
medRxiv11 Oct 2026PreprintAll rights reservedFull textCardiovascular medicinemedRxiv
Serum MGP and ECP are commonly elevated in first-onset and recurrent ischemic stroke: a two-phase DIA proteomic study in a Chinese cold-region cohort
Ningning Wang, Zhengguang Guo, Ming Jin +6
Frontiers in neurology16 Oct 2026Peer-reviewedCC BYFull textNeurologyEurope PMC

Cite

BibTeX RIS

BibTeX

@article{kobayashi2026recurrent,
  title = {{Recurrent Ischemic Stroke after Carotid Artery Stenting for Thyroid Cartilage Induced CCA Stenosis: Was Stenting an Appropriate Treatment?}},
  author = {Yuya Kobayashi and Ryotaro Yui and Chinami Yuzawa and Minori Kurashina and Yoshiki Sekijima},
  journal = {Internal Medicine},
  year = {2026},
  month = oct,
  doi = {10.2169/internalmedicine.7599-26},
  url = {https://www.jstage.jst.go.jp/article/internalmedicine/advpub/0/advpub_7599-26/_article},
  note = {CC BY-NC-ND},
}

RIS

TY  - JOUR
TI  - Recurrent Ischemic Stroke after Carotid Artery Stenting for Thyroid Cartilage Induced CCA Stenosis: Was Stenting an Appropriate Treatment?
AU  - Yuya Kobayashi
AU  - Ryotaro Yui
AU  - Chinami Yuzawa
AU  - Minori Kurashina
AU  - Yoshiki Sekijima
PY  - 2026
DA  - 2026/10/29
JO  - Internal Medicine
DO  - 10.2169/internalmedicine.7599-26
UR  - https://www.jstage.jst.go.jp/article/internalmedicine/advpub/0/advpub_7599-26/_article
AB  - Mechanical stimulation of the common carotid artery (CCA) by the hyoid bone or thyroid cartilage can cause common carotid artery (CCA) stenosis and cerebral infarction. A 71-year-old man presented with symptomatic CCA stenosis. Imaging revealed CCA plaque at the site of contact with the thyroid cartilage, and ultrasonography revealed dynamic compression during swallowing. Despite technically successful carotid artery stenting, infarctions can recur without typical stent-related complications. The plaque may be trapped by the stent under persistent external mechanical stress, resulting in intermittent protrusions. Additional stenting prevented the recurrence. This case highlights the importance of considering external mechanical factors when selecting a treatment strategy.
SN  - 1349-7235
SN  - 0918-2918
ER  -

Abstract

Related

Cite