Acute carotid stent thrombosis: a case of surgical revascularization and review of treatment options

Vascular
Fotis MarkatisPatrice Bergeron

Abstract

Carotid artery stenting is considered to be an alternative to carotid endarterectomy for selected patients by many vascular specialists around the world. Acute stent thrombosis following the procedure, although very infrequent, can risk the survival of the patient. In this report, we present a case of acute stent thrombosis 24 hours following the procedure. After a slow deterioration of the clinical state of the patient, he was urgently subjected to thrombectomy with extraction of the stent, with eventual resolution of his symptoms. A review of the current literature is presented together with all the possible treatment options of this serious complication. In conclusion, several neurorescue procedures are available for the vascular surgeon who has to act urgently and, in some cases, aggressively, when stent thrombosis is diagnosed.

References

Jul 26, 2002·European Neurology·Gerhard F HamannMarkus M Heiss
Dec 6, 2003·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Ruth L BushAlan B Lumsden
Nov 9, 2005·Journal of Vascular Surgery·Carlo SetacciAlberto Cremonesi
Apr 16, 2009·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·C D LiapisUNKNOWN ESVS Guidelines Collaborators
Mar 30, 2010·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Adrian IancuAlexandra Lazar
May 28, 2010·The New England Journal of Medicine·Thomas G BrottUNKNOWN CREST Investigators

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Citations

Jan 16, 2018·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·Odysseas KargiotisGeorgios Tsivgoulis
Sep 21, 2016·Vascular and Endovascular Surgery·Konstantinos G MoulakakisSpyridon N Vasdekis
Sep 7, 2017·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·John D MilletGowthaman Gunabushanam
Jan 27, 2019·Journal of Cardiovascular and Thoracic Research·Muzaffer Kahyaogluİbrahim Akin Izgi
Mar 23, 2021·The Journal of International Medical Research·Wei WeiZheng Li

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Methods Mentioned

BETA
dissection
percutaneous thrombectomy

Related Concepts

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Carotid Artery Diseases

Carotid artery disease is a group of pathological conditions of the carotid artery. Discover the latest research on carotid artery disease here.

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