{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T10:56:36Z","timestamp":1770116196470,"version":"3.49.0"},"reference-count":14,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"8","license":[{"start":{"date-parts":[[2025,2,24]],"date-time":"2025-02-24T00:00:00Z","timestamp":1740355200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cosmet Laser Ther"],"published-print":{"date-parts":[[2025,2,24]]},"abstract":"\n BACKGROUND<\/jats:title>\n Subclavian artery stenosis (SAS) has a prevalence of 1.9% in the general United States population. Revascularization, often by stenting, is indicated for symptomatic patients. Plaque shift (PS) is a well-known poststenting complication in coronary interventions but has not been reported in subclavian artery (SA) stenting. This case report documents the occurrence of PS after stenting for SAS, highlighting a rare but significant complication.<\/jats:p>\n <\/jats:sec>\n \n OBSERVATIONS<\/jats:title>\n An 87-year-old woman with a history of hypertension and dyslipidemia presented with right upper-limb pain and fatigue. Imaging confirmed stenosis with calcified plaque at the origin of the right SA. Following endovascular stenting under local anesthesia, imaging revealed PS to the brachiocephalic artery (BA). To prevent migration into the common carotid artery (CCA), a dual-layer stent was placed from the CCA to the BA. The patient\u2019s symptoms resolved, and follow-up confirmed successful plaque stabilization without restenosis 1 year postprocedure.<\/jats:p>\n <\/jats:sec>\n \n LESSONS<\/jats:title>\n Even apparently hard SA plaque with calcification can result in PS with stenting. When PS occurs, prompt stenting can prevent cerebral embolism.<\/jats:p>\n \n https:\/\/thejns.org\/doi\/10.3171\/CASE24760<\/jats:ext-link>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.3171\/case24760","type":"journal-article","created":{"date-parts":[[2025,2,24]],"date-time":"2025-02-24T01:54:20Z","timestamp":1740362060000},"source":"Crossref","is-referenced-by-count":0,"title":["Plaque shift to the brachiocephalic artery after subclavian artery stenting: illustrative case"],"prefix":"10.3171","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7507-1933","authenticated-orcid":true,"given":"Junji","family":"Fukumori","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Osaka Police Hospital, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9533-9709","authenticated-orcid":true,"given":"Kenji","family":"Fukutome","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Osaka Police Hospital, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuta","family":"Aketa","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Osaka Police Hospital, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuki","family":"Shiraishi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Osaka Police Hospital, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atsuko","family":"Shimotsuma","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Osaka Police Hospital, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryuta","family":"Matsuoka","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Osaka Police Hospital, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rinsei","family":"Tei","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Osaka Police Hospital, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasushi","family":"Shin","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Osaka Police Hospital, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasushi","family":"Motoyama","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Osaka Police Hospital, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"3","key":"bib1","series-title":"J Am Coll Cardiol","first-page":"618","article-title":"Subclavian artery stenosis: prevalence, risk factors, and association with cardiovascular diseases","volume":"44","author":"Shadman","year":"2004","unstructured":"Shadman RCriqui MHBundens WPSubclavian artery stenosis: prevalence, risk factors, and association with cardiovascular diseases. J Am Coll Cardiol. 2004;44(3):618-623."},{"issue":"22","key":"bib2","series-title":"Eur Heart J","first-page":"2851","article-title":"ESC guidelines on the diagnosis and treatment of peripheral artery diseases: document covering atherosclerotic disease of extracranial carotid and vertebral, mesenteric, renal, upper and lower extremity arteries: the Task Force on the Diagnosis and Treatment of Peripheral Artery Diseases of the European Society of Cardiology (ESC)","volume":"32","author":"European Stroke Organisation","year":"2011","unstructured":"European Stroke OrganisationTendera MAboyans VESC guidelines on the diagnosis and treatment of peripheral artery diseases: document covering atherosclerotic disease of extracranial carotid and vertebral, mesenteric, renal, upper and lower extremity arteries: the Task Force on the Diagnosis and Treatment of Peripheral Artery Diseases of the European Society of Cardiology (ESC). Eur Heart J. 2011;32(22):2851-2906."},{"issue":"suppl V","key":"bib3","series-title":"EuroIntervention","first-page":"V75","article-title":"The story of plaque shift and carina shift","volume":"11","author":"Gwon","year":"2015","unstructured":"Gwon HCSong YBPan M.The story of plaque shift and carina shift. EuroIntervention. 2015;11(suppl V):V75-V77."},{"issue":"5","key":"bib4","series-title":"Circ Cardiovasc Interv","first-page":"657","article-title":"Carina shift versus plaque shift for aggravation of side branch ostial stenosis in bifurcation lesions: volumetric intravascular ultrasound analysis of both branches","volume":"5","author":"Xu","year":"2012","unstructured":"Xu JHahn JYSong YBCarina shift versus plaque shift for aggravation of side branch ostial stenosis in bifurcation lesions: volumetric intravascular ultrasound analysis of both branches. Circ Cardiovasc Interv. 2012;5(5):657-662."},{"issue":"1","key":"bib5","series-title":"Vasc Med","first-page":"29","article-title":"Subclavian artery stenosis: a review for the vascular medicine practitioner","volume":"16","author":"Ochoa","year":"2011","unstructured":"Ochoa VMYeghiazarians Y.Subclavian artery stenosis: a review for the vascular medicine practitioner. Vasc Med. 2011;16(1):29-34."},{"issue":"2A","key":"bib6","series-title":"Am J Cardiol","first-page":"42E","article-title":"The human high-risk plaque and its detection by magnetic resonance imaging","volume":"88","author":"Fayad","year":"2001","unstructured":"Fayad ZAFuster V.The human high-risk plaque and its detection by magnetic resonance imaging. 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J Am Coll Cardiol. 2004;44(3):618-623."},{"issue":"22","key":"bib2","series-title":"Eur Heart J","first-page":"2851","article-title":"ESC guidelines on the diagnosis and treatment of peripheral artery diseases: document covering atherosclerotic disease of extracranial carotid and vertebral, mesenteric, renal, upper and lower extremity arteries: the Task Force on the Diagnosis and Treatment of Peripheral Artery Diseases of the European Society of Cardiology (ESC)","volume":"32","author":"European Stroke Organisation","year":"2011","unstructured":"European Stroke OrganisationTendera MAboyans VESC guidelines on the diagnosis and treatment of peripheral artery diseases: document covering atherosclerotic disease of extracranial carotid and vertebral, mesenteric, renal, upper and lower extremity arteries: the Task Force on the Diagnosis and Treatment of Peripheral Artery Diseases of the European Society of Cardiology (ESC). Eur Heart J. 2011;32(22):2851-2906."},{"issue":"suppl V","key":"bib3","series-title":"EuroIntervention","first-page":"V75","article-title":"The story of plaque shift and carina shift","volume":"11","author":"Gwon","year":"2015","unstructured":"Gwon HCSong YBPan M.The story of plaque shift and carina shift. EuroIntervention. 2015;11(suppl V):V75-V77."},{"issue":"5","key":"bib4","series-title":"Circ Cardiovasc Interv","first-page":"657","article-title":"Carina shift versus plaque shift for aggravation of side branch ostial stenosis in bifurcation lesions: volumetric intravascular ultrasound analysis of both branches","volume":"5","author":"Xu","year":"2012","unstructured":"Xu JHahn JYSong YBCarina shift versus plaque shift for aggravation of side branch ostial stenosis in bifurcation lesions: volumetric intravascular ultrasound analysis of both branches. Circ Cardiovasc Interv. 2012;5(5):657-662."},{"issue":"1","key":"bib5","series-title":"Vasc Med","first-page":"29","article-title":"Subclavian artery stenosis: a review for the vascular medicine practitioner","volume":"16","author":"Ochoa","year":"2011","unstructured":"Ochoa VMYeghiazarians Y.Subclavian artery stenosis: a review for the vascular medicine practitioner. Vasc Med. 2011;16(1):29-34."},{"issue":"2A","key":"bib6","series-title":"Am J Cardiol","first-page":"42E","article-title":"The human high-risk plaque and its detection by magnetic resonance imaging","volume":"88","author":"Fayad","year":"2001","unstructured":"Fayad ZAFuster V.The human high-risk plaque and its detection by magnetic resonance imaging. Am J Cardiol. 2001;88(2A):42E-45E."},{"issue":"10C","key":"bib7","series-title":"Am J Cardiol","first-page":"15L","article-title":"Magnetic resonance imaging to identify the high-risk plaque","volume":"90","author":"Kramer","year":"2002","unstructured":"Kramer CM.Magnetic resonance imaging to identify the high-risk plaque. 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