Sandwich Stenting Technique Successfully Performed for Acute Carotid Artery Stent Thrombosis: A Case Report

2018 ◽  
Vol 21 (1) ◽  
pp. 79-81
Author(s):  
Abdullah İçli ◽  
Ahmet Lütfü Sertdemir ◽  
Kurtuluş Özdemir
Keyword(s):  
Case Report ◽  
Carotid Artery ◽  
Stent Thrombosis ◽  
Carotid Artery Stent

scholarly journals Acute In-Stent Thrombosis after Carotid Angioplasty and Stenting: A Case Report and Literature Review

2018 ◽  
Vol 7 (5) ◽  
pp. 265-270 ◽  
Author(s):  
Wei Hu ◽  
Li Wang ◽  
GuoPing Wang
Keyword(s):  
Case Report ◽  
Carotid Artery ◽  
Stent Thrombosis ◽  
Controlled Trial ◽  
Recombinant Tissue Plasminogen Activator ◽  
Internal Carotid Artery Stenosis ◽  
Invasive Treatment ◽  
Carotid Revascularization ◽  
Acute Stent Thrombosis ◽  
Protection Filter

Background: Based on the results of a recent randomized controlled trial, carotid artery stenting (CAS) was regarded as a relatively safe, less invasive treatment of internal carotid artery stenosis. However, cerebral thromboembolic events are the most common complications of CAS. Especially acute stent thrombosis following CAS will be fatal without prompt diagnosis and revascularization. Case Report: We report a case of acute stent thrombosis in whom carotid revascularization was performed successfully via arterial thrombolysis and balloon postdilation. A 79-year-old man with hypertension was hospitalized for an episode of transient ischemic attack. Computed tomography angiography revealed subtotal occlusion in the left carotid artery. Aspirin (100 mg) and clopidogrel (75 mg) were administered daily for 5 days before the procedure. CAS was performed under local anesthesia. The first postprocedural angiogram showed the stent looked good. However, a repeat angiogram showed in-stent thrombosis 2 min after withdrawal of the cerebral protection filter. Interestingly, the patient presented no neurologic deficit. After an additional 2,000 U of heparin had been administered intravenously, a microcatheter (SL-14; Boston Scientific, USA) was positioned to the in-stent thrombosis. Next, a total dose of 10 mg of recombinant tissue plasminogen activator was injected into the thrombus via the microcatheter within 10 min, which led to partial recanalization with antegrade flow. However, complete occlusion of the lesion occurred 5 min later. Under the guidance of angiography roadmap, a protection filter (Emboshield NAV6; Abbott Vascular, USA) was deployed at the distal part of the stent and redilation of the stent was performed with a 5 × 30 mm balloon (Viatrac 14 Plus; Abbott Vascular) at 14 atm. Finally, carotid revascularization was performed successfully, proven by postprocedural angiogram. Conclusion: Acute carotid stent thrombosis (ACST) can have devastating effects on the survival of the patient. For ACST when the stent does not fully adhere to the blood vessel, a mechanical approach should be a feasible solution to the problem.

scholarly journals A New Concept for Carotid Artery Stenting: Coating the Atherosclerotic Plaque by Covered Stent before Bare Stent Implantation

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Erol Akgul
Keyword(s):  
Case Report ◽  
Carotid Artery ◽  
Stent Thrombosis ◽  
Atherosclerotic Plaque ◽  
Stent Implantation ◽  
Carotid Artery Stenosis ◽  
Carotid Artery Stenting ◽  
Balloon Dilation ◽  
Covered Stent ◽  
Extracranial Carotid Artery

In carotid artery stenting (CAS) procedures, distal embolism, periprocedural stent thrombosis, and 30-day stroke due to the plaque fragmentation and protrusion caused by stent implantation and balloon dilation are frequent complications. In this technical case report, a case is presented of extracranial carotid artery stenosis treated with a covered stent and subsequent implantation of a bare stent. In addition, the possibility is discussed that this new technique prevents the distal microembolic complications, periprocedural stent thrombosis, and 30-day stroke of extracranial CAS.

scholarly journals Open-Label Phase I Clinical Study to Assess the Safety and Efficacy of Cilostazol in Patients Undergoing Internal Carotid Artery Stent Placement

2016 ◽  
Vol 6 (1-2) ◽  
pp. 42-48
Author(s):  
Ameer E. Hassan ◽  
Haralabos Zacharatos ◽  
Mikayel Grigoryan ◽  
Wondwossen G. Tekle ◽  
Amir Khan ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Phase I ◽  
Stent Thrombosis ◽  
Stent Placement ◽  
Internal Carotid ◽  
Antiplatelet Drug ◽  
Open Label ◽  
End Point ◽  
Carotid Artery Stent

Background: One-month dual antiplatelet treatment, with aspirin and clopidogrel, following internal carotid artery stent placement is the current standard of care to prevent in-stent thrombosis. Cilostazol, an antiplatelet drug, has been demonstrated to have a safety profile comparable to aspirin and clopidogrel. Objective: To evaluate the safety and clinical efficacy of cilostazol and aspirin therapy following internal carotid artery stent placement up to 1 month postprocedure. Methods: A phase I open-label, nonrandomized two-center prospective study was conducted. All subjects received aspirin (325 mg/day) and cilostazol (200 mg/day) 3 days before extracranial stent placement. Two antiplatelet agents were continued for 1 month postprocedure followed by aspirin daily monotherapy. The primary efficacy end point was the 30-day composite occurrence of death, cerebral infarction, transient ischemic attack, and in-stent thrombosis. The primary safety end point was bleeding. Results: Twelve subjects (mean age ± SD, 66 ± 12 years; 9 males) were enrolled and underwent internal carotid artery angioplasty and stent placement. None of the subjects who successfully followed the study protocol experienced any complications at the 1- and 3-month follow-ups. One patient had a protocol deviation due to concurrent use of enoxaparin (1 mg/kg twice daily) in addition to aspirin and cilostazol, resulting in a fatal symptomatic intracerebral hemorrhage following successful stent placement on postprocedure day 1. One patient discontinued cilostazol after the first dose secondary to dizziness. Conclusion: The use of cilostazol and aspirin for internal carotid artery stent placement appears to be safe, but protocol compliance needs to be emphasized.

scholarly journals Stent-in-stent treatment for acute in-stent thrombosis after carotid artery stenting: a case report

2012 ◽  
Vol 6 (3) ◽  
pp. 181-188 ◽  
Author(s):  
Yuji TAKASUGI ◽  
Kenji SUGIU ◽  
Masafumi HIRAMATSU ◽  
Yu OHKUMA ◽  
Hisakazu ITAMI ◽  
...  
Keyword(s):  
Case Report ◽  
Carotid Artery ◽  
Stent Thrombosis ◽  
Carotid Artery Stenting ◽  
Stent Treatment

scholarly journals Utility of carotid-enhanced ultrasonography for evaluating stent thrombosis after carotid artery stent placement

Neurosonology ◽  
2018 ◽  
Vol 31 (3) ◽  
pp. 138-141
Author(s):  
Junichi UEMURA ◽  
Takanori IWAMOTO ◽  
Shunji MATSUBARA ◽  
Masaaki UNO ◽  
Yoshiki YAGITA
Keyword(s):  
Carotid Artery ◽  
Stent Thrombosis ◽  
Stent Placement ◽  
Carotid Artery Stent

Acute Carotid Artery Stent Thrombosis Due to Dual Antiplatelet Resistance

2014 ◽  
Vol 38 (4) ◽  
pp. 1011-1014 ◽  
Author(s):  
Erkan Köklü ◽  
Şakir Arslan ◽  
İsa Öner Yüksel ◽  
Nermin Bayar ◽  
Pınar Koç
Keyword(s):  
Carotid Artery ◽  
Stent Thrombosis ◽  
Carotid Artery Stent

scholarly journals Successful emergent carotid artery stent placement for high-grade stenosis in a serious ischemic stroke patient: Case report

Nosotchu ◽  
2007 ◽  
Vol 29 (5) ◽  
pp. 642-647
Author(s):  
Keisuke Imai ◽  
Masayoshi Kimura ◽  
Masahiro Makino ◽  
Fumiko Oshima ◽  
Kenichiro Oda ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Case Report ◽  
Carotid Artery ◽  
Stroke Patient ◽  
Stent Placement ◽  
High Grade ◽  
Ischemic Stroke Patient ◽  
Patient Case ◽  
Carotid Artery Stent

scholarly journals Carotid artery stent continued expansion days after deployment, without post stent deployment angioplasty

2015 ◽  
Vol 5 (3) ◽  
Author(s):  
Umair Qazi ◽  
Tammam Obeid ◽  
Isibor Arhuidese ◽  
Mahmoud Malas
Keyword(s):  
Case Report ◽  
Carotid Artery ◽  
Stent Deployment ◽  
Carotid Artery Stent ◽  
Stent Expansion ◽  
Nitinol Stents

This is a carotid artery stent (CAS) case report, which avoids post-stent deployment angioplasty (Post-SDA), with duplex confirmed continued stent expansion at 1, 3 and 30-day post deployment. This report confirms that self-expanding nitinol stents in the carotid artery may not require Post-SDA. We believe CAS can be performed without Post-SDA, which helps reduce the occurrence of intraoperative hemodynamic depression.

scholarly journals A case of repeated acute phase in-stent thrombosis following carotid artery stenting: case report

2012 ◽  
Vol 5 (3) ◽  
pp. 188-194 ◽  
Author(s):  
Hideaki ISHIHARA ◽  
Shoichiro ISHIHARA ◽  
Hiroshi KATO ◽  
Hideo YAMADA
Keyword(s):  
Case Report ◽  
Carotid Artery ◽  
Stent Thrombosis ◽  
Acute Phase ◽  
Carotid Artery Stenting

Acute Carotid Artery Stent Thrombosis

2017 ◽  
Vol 41 (2) ◽  
pp. 355-356 ◽  
Author(s):  
Ivan Cvjetko ◽  
Inga Đaković Bacalja ◽  
Tereza Cvjetko
Keyword(s):  
Carotid Artery ◽  
Stent Thrombosis ◽  
Carotid Artery Stent
Sign in / Sign up

Export Citation Format

Share Document