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 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 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

scholarly journals Postoperative Cerebellar Infarction after Carotid Artery Stenting for Symptomatic Stenosis: A Case Report

2017 ◽  
Vol 45 (6) ◽  
pp. 483-487
Author(s):  
Takashi NAGATA ◽  
Yutaka MITSUHASHI ◽  
Taichiro KAWAKAMI ◽  
Toshiyuki SUGINO ◽  
Tsuyoshi INOUE ◽  
...  
Keyword(s):  
Case Report ◽  
Carotid Artery ◽  
Carotid Artery Stenting ◽  
Cerebellar Infarction ◽  
Symptomatic Stenosis

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.

In-stent thrombosis after carotid artery stenting in a patient with protein C deficiency

2018 ◽  
Vol 39 (12) ◽  
pp. 2229-2230 ◽  
Author(s):  
Yuichirou Iwamoto ◽  
Takaya Kitano ◽  
Shunji Matsubara ◽  
Masaaki Uno ◽  
Yoshiki Yagita
Keyword(s):  
Carotid Artery ◽  
Stent Thrombosis ◽  
Carotid Artery Stenting ◽  
Protein C ◽  
Protein C Deficiency
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