Overview of evidence on risk factors and early management of acute carotid stent thrombosis during the last two decades

Journal of Vascular Surgery
Andreia Pires CoelhoAlexandra Canedo

Abstract

Acute carotid stent thrombosis (ACST) occurring in the first hours after the procedure is an exceedingly rare complication of carotid artery stenting, but it is potentially devastating. This review aimed to evaluate current literature, identifying all reported cases during the last two decades, with the final purpose of reporting predictive factors and early management. A systematic review and meta-analysis was conducted according to the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. A total of 464 potentially relevant articles were selected. After review of records at title and abstract level, 29 articles with 60 patients were included. Twelve studies reported on ACST incidence rate in their cohorts, ranging from 0.36% to as high as 33%. In considering etiology, antiplatelet noncompliance or resistance is the most frequently reported risk factor. Emergency procedures seemed to be associated with greater risk for ACST, reaching 5.6% to 33% incidence. Dual-layer stents were also associated with greater risk (45% vs 3.7%; P = .0001; odds ratio, 21.3). Use of an overlapping stent as a bailout procedure because of dissection, malposition, or long lesions was correlated with incr...Continue Reading

References

May 1, 1996·Catheterization and Cardiovascular Diagnosis·M H JeongR S Schwartz
Apr 25, 2002·Annals of Vascular Surgery·Erik L OwensSteve R Sparks
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
Nov 14, 2006·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M BosiersC Setacci
Jan 19, 2008·BMJ : British Medical Journal·George KrasopoulosMichael R Buchanan
Feb 29, 2008·Yonsei Medical Journal·Kwon Duk SeoKyung-Yul Lee
Feb 23, 2010·International Journal of Surgery·David MoherUNKNOWN PRISMA Group
Mar 30, 2010·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Adrian IancuAlexandra Lazar
Dec 2, 2011·Journal of Neurointerventional Surgery·Grant StottsCheemun Lum
Jan 5, 2013·Current Pharmaceutical Design·Udaya S Tantry, Paul A Gurbel
Jul 10, 2013·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Kazuya KanemaruHiroyuki Kinouchi
Aug 15, 2014·Cardiovascular and Interventional Radiology·Erkan KöklüPınar Koç
Sep 26, 2015·Future Cardiology·Henrik Steglich-Arnholm, Derk W Krieger
Sep 21, 2016·Vascular and Endovascular Surgery·Konstantinos G MoulakakisSpyridon N Vasdekis
May 10, 2017·Annals of Vascular Surgery·Konstantinos G MoulakakisElias N Brountzos
Jun 24, 2017·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Akinori MiyakoshiEtsuko Hattori
Jul 7, 2017·Stroke; a Journal of Cerebral Circulation·Umut YilmazMarcus M Unger
Aug 31, 2017·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·A R NaylorM Venermo
Sep 10, 2017·Annals of Vascular Surgery·Konstantinos G Moulakakis, Andreas M Lazaris
Sep 13, 2017·Journal of Vascular Surgery·Mina GuirgisShirley Jansen
Oct 19, 2017·Cardiovascular and Interventional Radiology·Ivan CvjetkoTereza Cvjetko

❮ Previous
Next ❯

Citations

Jul 10, 2019·Journal of Neurointerventional Surgery·Yong ZhangGuangwen Li
Aug 23, 2019·Current Opinion in Cardiology·Stavros SpiliopoulosElias Brountzos
Nov 28, 2020·Annals of Vascular Surgery·Brian R BeemanPeter A Schneider
Jun 28, 2021·Journal of Vascular Surgery·Angela A KokkosisPeter A Schneider
Jun 29, 2021·Journal of Vascular Surgery·Andreia CoelhoGert J de Borst

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Annals of Vascular Surgery
Konstantinos G MoulakakisElias N Brountzos
European Review for Medical and Pharmacological Sciences
K XiromeritisV Psarros
Vascular and Endovascular Surgery
Konstantinos G MoulakakisSpyridon N Vasdekis
Cardiovascular Revascularization Medicine : Including Molecular Interventions
Adrian IancuAlexandra Lazar
© 2022 Meta ULC. All rights reserved