{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T13:46:08Z","timestamp":1791812768756,"version":"4.3.4"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 3","license":[{"start":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T00:00:00Z","timestamp":1784073600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Severe carotid artery narrowing is a well-recognized cause of ischemic stroke, and carotid artery stenting (CAS) is frequently used to restore blood flow and prevent recurrence. Although embolic protection devices are designed to reduce the risk of distal embolization, ocular complications can still occur. When treating patients with vision in only one eye, any compromise in ocular circulation can have devastating consequences. A 63-year-old male presented with an acute ischemic stroke caused by severe narrowing of the Right internal carotid artery. He underwent CAS. Shortly after the procedure, he developed a sudden diminution of vision in his right eye \u2013 the only functional eye, as he had been blind in the left eye since childhood due to trauma. Ophthalmologic evaluation revealed a supratemporal branch retinal artery occlusion. Despite prompt medical management, visual recovery was minimal. This case illustrates the clinical and ethical challenge of managing cerebrovascular disease in patients at high risk of total blindness. This case highlights that retinal embolization can occur during carotid stenting and emphasizes the importance of careful patient selection, procedural vigilance, and thorough preoperative counseling \u2013 especially in individuals with monocular vision. Balancing the benefits of stroke prevention with the risk of irreversible vision loss requires a multidisciplinary and patient-centered approach.<\/jats:p>","DOI":"10.4103\/aam.aam_357_26","type":"journal-article","created":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T07:00:09Z","timestamp":1784185209000},"page":"S649-S653","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Retinal Embolization after Carotid Artery Stenting in a Monocular Patient: Clinical and Ethical Implications"],"prefix":"10.4103","volume":"25","author":[{"given":"Archana","family":"Bhange","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siddhartha","family":"Gollamudi","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Himani","family":"Yadav","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gautami","family":"Laturkar","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,7,15]]},"reference":[{"key":"R1-20261012","doi-asserted-by":"crossref","first-page":"2183","DOI":"10.3892\/etm.2016.3581","article-title":"Branch retinal artery occlusion following carotid stenting: A case report","volume":"12","author":"Sun","year":"2016","journal-title":"Exp Ther Med"},{"key":"R2-20261012","first-page":"12294","article-title":"Retinal artery embolization after carotid artery stenting: Report of a case and review of literature","volume":"9","author":"Shang","year":"2016","journal-title":"Int J Clin Exp Med"},{"key":"R3-20261012","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1056\/NEJMoa0912321","article-title":"Stenting versus endarterectomy for treatment of carotid-artery stenosis","volume":"363","author":"Brott","year":"2010","journal-title":"N Engl J Med"},{"key":"R4-20261012","first-page":"e50506","article-title":"Carotid artery stenting versus carotid artery endarterectomy in asymptomatic severe carotid stenosis: An updated meta-analysis","volume":"15","author":"Aggarwal","year":"2023","journal-title":"Cureus"},{"key":"R5-20261012","doi-asserted-by":"crossref","first-page":"1298","DOI":"10.1016\/j.jocn.2015.01.033","article-title":"Retinal embolization after carotid endarterectomy and stenting for carotid artery stenosis","volume":"22","author":"Song","year":"2015","journal-title":"J Clin Neurosci"},{"key":"R6-20261012","doi-asserted-by":"crossref","first-page":"1710","DOI":"10.1016\/j.jvs.2023.01.210","article-title":"Distal embolic protection use during transfemoral carotid artery stenting is associated with improved in-hospital outcomes","volume":"77","author":"Wang","year":"2023","journal-title":"J Vasc Surg"},{"key":"R7-20261012","doi-asserted-by":"crossref","first-page":"504","DOI":"10.1177\/1971400918781990","article-title":"Retinal artery occlusion during carotid artery stenting with distal embolic protection device","volume":"31","author":"Kohara","year":"2018","journal-title":"Neuroradiol J"},{"key":"R8-20261012","doi-asserted-by":"crossref","first-page":"1235","DOI":"10.1016\/j.jvs.2023.12.041","article-title":"An analysis of the recommendations of the 2022 Society for Vascular Surgery clinical practice guidelines for patients with asymptomatic carotid stenosis","volume":"79","author":"AbuRahma","year":"2024","journal-title":"J Vasc Surg"},{"key":"R9-20261012","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1002\/bjs.10717","article-title":"Meta-analysis of the procedural risks of carotid endarterectomy and carotid artery stenting over time","volume":"105","author":"Lokuge","year":"2018","journal-title":"Br J Surg"}],"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_357_26","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T13:01:31Z","timestamp":1791810091000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_357_26"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,15]]},"references-count":9,"journal-issue":{"issue":"Suppl 3","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/aam.aam_357_26","relation":{},"ISSN":["1596-3519","0975-5764"],"issn-type":[{"value":"1596-3519","type":"print"},{"value":"0975-5764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,15]]},"assertion":[{"value":"2026-03-30","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-08","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}