Retrospective Study
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. May 26, 2020; 8(10): 1859-1870
Published online May 26, 2020. doi: 10.12998/wjcc.v8.i10.1859
Evaluation of ischemic lesions after carotid artery stenting with diffusion-weighted imaging
Murat Beyhan, Berat Acu, Erkan Gökçe, Mehmet Murat Fırat
Murat Beyhan, Erkan Gökçe, Department of Radiology, Tokat Gaziosmanpasa University Faculty of Medicine, Tokat 60100, Turkey
Berat Acu, Department of Radiology, Eskisehir Osmangazi University Faculty of Medicine, Eskisehir 26480, Turkey
Mehmet Murat Fırat, Department of Radiology, Guven Hospital, Ankara 06540, Turkey
Author contributions: Acu B and Fırat MM designed and supervised the study; Beyhan M collected the data. Acu B and Gökçe E equally contributed to data analysis; Gökçe E and Beyhan M participated in literature research, manuscript preparation and read and approved the final version.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of the Tokat Gaziosmanpasa University Faculty of Medicine (No: B.30.2.GOU.0.01.00.00/219).
Informed consent statement: Patients were not required to give informed consent to the study because figures in picture archiving and communication system were studied retrospectively.
Conflict-of-interest statement: All authors declare no conflicts-of-interest related to this article.
Data sharing statement: No additional data are available.
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: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Erkan Gökçe, MD, Associate Professor, Chief Doctor, Department of Radiology, Tokat Gaziosmanpasa University Faculty of Medicine, Kaleardı Mah., Muhittin Fisunoglu Cad., Tokat 60100, Turkey. drerkangokce@gmail.com
Received: December 30, 2019
Peer-review started: December 30, 2019
First decision: February 20, 2020
Revised: March 26, 2020
Accepted: April 21, 2020
Article in press: April 21, 2020
Published online: May 26, 2020
Processing time: 146 Days and 21.6 Hours
Core Tip

Core tip: In this retrospective study, the number, volume and cerebral parenchymal and vascular distributions of new ischemic lesions were investigated after carotid artery stenting with diffusion-weighted imaging. Despite the detection of 39 newly arising ischemic lesions after the carotid artery stenting, there were no neurological findings in 15 out of 64 cases, and they were considered silent ischemias. On the other hand, symptomatic findings were detected in 5 cases after the operation. The present study revealed that new ischemic lesions appear mostly in the main arterial territory and cerebral ipsilateral hemispheres.