Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 6, 2023; 11(25): 5926-5933
Published online Sep 6, 2023. doi: 10.12998/wjcc.v11.i25.5926
Ultrasound-guided carotid angioplasty and stenting in a patient with iodinated contrast allergy: A case report
Le Li, Zi-Yan Wang, Bo Liu
Le Li, Bo Liu, Department of Neurology, Shenzhen Longhua District Central Hospital, Shenzhen 518110, Guangdong Province, China
Le Li, Zi-Yan Wang, Department of Neurology, The Third Hospital of Mianyang (Sichuan Mental Health Center), Mianyang 621000, Sichuan Province, China
Zi-Yan Wang, Department of Clinical Medicine, North Sichuan Medical College, Nanchong 637000, Sichuan Province, China
Author contributions: Li L and Wang ZY contributed equally to this work; Li L, Wang ZY and Liu B contributed to manuscript writing and editing, and data collection; Liu B contributed to conceptualization and supervision; all authors have read and approved the final manuscript.
Supported by the Foundation of the Longhua District Health System Project Cooperation 2022 (basic and clinical research in ischemic stroke).
Informed consent statement: Informed written consent was obtained from the patient for publication of this case report and accompanying images.
Conflict-of-interest statement: All the authors have declared that no competing interests exist.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Bo Liu, PhD, Doctor, Department of Neurology, Shenzhen Longhua District Central Hospital, No. 187 Guanlan Avenue, Longhua District, Shenzhen 518110, Guangdong Province, China. liubo200000@126.com
Received: April 28, 2023
Peer-review started: April 28, 2023
First decision: July 18, 2023
Revised: August 3, 2023
Accepted: August 9, 2023
Article in press: August 9, 2023
Published online: September 6, 2023
Processing time: 125 Days and 15.1 Hours
Core Tip

Core Tip: We report a case of patient who had severe stenosis of the right internal carotid artery and severe stenosis of the right subclavian artery. The patient requested carotid angioplasty and stenting (CAS) for treatment but was allergic to iodinated contrast media. Therefore, we performed ultrasound-guided CAS to avoid the use of iodinated contrast. Ultrasound and magnetic resonance examination showed good vascular recovery, and the postoperative follow-up indicated a good prognosis. The case suggests that for patients who are allergic to iodinated contrast media, ultrasound-guided CAS is a feasible alternative.