A lotus root-like appearance in carotid stenosis on optical coherence tomography
- Affiliated Author(s)
- 장혁원; 윤혁준; 홍정호; 손성일; 김창현; 이창영
- Alternative Author(s)
- Chang, Hyuk Won; Yoon, Hyuck Jun; Hong, Jeong Ho; Sohn, Sung Il; Kim, Chang Hyun; Lee, Chang Young
- Journal Title
- Journal of Neurointerventional Surgery
- ISSN
- 1759-8478
- Issued Date
- 2015
- Abstract
- An 82-year-old man visited the outpatient clinic of our stroke centre because of dizziness. He had a previous history of stroke without definite sequelae. Severe stenosis in the left proximal internal carotid artery (ICA) was seen on Doppler sonography. Conventional angiography revealed focal severe stenosis with ‘string sign’ in the left proximal ICA and delayed distal run off. Optical coherence tomography showed multiple channels surrounding a narrowed central lumen (lotus root-like appearance). Carotid stent placement with a protection device was done without complications. The patient was discharged in good condition 5 days after the procedure.
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