{
  "abstract": "Carotid stent fracture is an uncommon but increasingly recognized complication of carotid artery stenting (CAS), and its clinical implications remain controversial. We report a rare case of repeated carotid stent fracture occurring at the identical anatomical location in a 36-year-old female patient. After successful CAS for symptomatic carotid bulb stenosis, a high-grade stent fracture was detected on follow-up imaging without neurological symptoms and was initially managed conservatively. Progressive in-stent restenosis subsequently required repeat CAS using a stent-in-stent technique with the same stent platform. Despite reintervention, follow-up imaging demonstrated recurrent fracture at the same site, accompanied by focal severe restenosis. The lesion was ultimately treated with a closed-cell carotid stent, resulting in satisfactory luminal patency. This case highlights the limitations of the stent-in-stent approach in the presence of persistent focal mechanical stress and underscores the importance of individualized retreatment strategies and long-term imaging surveillance in selected patients after CAS.Disclosures S. Jin: None.",
  "authors": [
    {
      "affiliations": [
        "Department of Neurosurgery, Pohang Stroke & Spine Hospital, Pohang-si, Gyeongsangbuk-do, Korea, Republic of"
      ],
      "name": "S Jin"
    },
    {
      "affiliations": [
        "Neurosurgery, Pohang Stroke And Spine Hospital, Pohang-si, Korea, Republic of"
      ],
      "name": "Y Kim"
    }
  ],
  "title": "E-005 Repeated carotid stent fracture at the same anatomical site",
  "uid": "ee4e236d-918c-55cd-a5e1-61c0e58bd27d"
}