Coronary muscular bridge mimicking acute stent thrombosis : case report

2012 ◽  
Vol 23 (1) ◽  
pp. e16-e17
Author(s):  
C.Y. Karabay ◽  
A.C. Aykan ◽  
A. Guler ◽  
E. Alizade ◽  
A. Kalayci ◽  
...  
Keyword(s):  
Case Report ◽  
Stent Thrombosis ◽  
Acute Stent Thrombosis

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 Acute stent thrombosis in a sirolimus eluting stent after wasp sting causing acute myocardial infarction: a case report

Cases Journal ◽  
2009 ◽  
Vol 2 (1) ◽  
pp. 7800 ◽  
Author(s):  
Martin Greif ◽  
Tilmann Pohl ◽  
Nico Oversohl ◽  
Christopher Reithmann ◽  
Gerhard Steinbeck ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Case Report ◽  
Stent Thrombosis ◽  
Wasp Sting ◽  
Sirolimus Eluting Stent ◽  
Acute Stent Thrombosis

scholarly journals Clopidogrel is more effective than aspirin in inhibiting acute stent thrombosis

1996 ◽  
Vol 27 (2) ◽  
pp. 333-334 ◽  
Author(s):  
Raj Makkar ◽  
Masato Nakamura ◽  
Neal Eigler ◽  
Jean-Marc Herbert ◽  
Hao Zeng ◽  
...  
Keyword(s):  
Stent Thrombosis ◽  
Acute Stent Thrombosis

scholarly journals Isolated Protein S Deficiency - Cause of Recurrent Stent Thrombosis - A Case Report

2014 ◽  
Vol 6 (2) ◽  
pp. 175-179
Author(s):  
AK Choudhury ◽  
M Khalequzzaman ◽  
S Hasem ◽  
M Akhtaruzzaman ◽  
S Jannat
Keyword(s):  
Case Report ◽  
Stent Thrombosis ◽  
Arterial Thrombosis ◽  
Protein C ◽  
Protein S ◽  
Antiplatelet Agents ◽  
Percutaneous Coronary Interventions ◽  
Protein S Deficiency ◽  
S Deficiency ◽  
Percutaneous Coronary

Stent thrombosis (ST) is one of the major complications that occur in percutaneous coronary interventions (PCIs) with stents. Various factors have been attributed to the development of ST, and several strategies have been recommended for its management. Protein C or protein S deficiencies may uncommonly be responsible for coronary arterial thrombosis. We report a young woman with recurrent stent thrombosis due to the deficiency of protein S. After coronary stenting, stent thrombosis occurred two times despite aggressive medical therapy. This report suggests that the deficiency of protein C or S should be born in mind in a young patient with recurrent thrombotic events, and that anticoagulants in addition to antiplatelet agents considered in the presence of their deficiency DOI: http://dx.doi.org/10.3329/cardio.v6i2.18364 Cardiovasc. j. 2014; 6(2): 175-179

Recurrent acute stent thrombosis associated with protein C and S deficiencies

2006 ◽  
Vol 22 (3-4) ◽  
pp. 333-337 ◽  
Author(s):  
Gurkan Acar ◽  
Abdullah Dogan ◽  
Ahmet Altınbas ◽  
Yasin Turker
Keyword(s):  
Stent Thrombosis ◽  
Protein C ◽  
Acute Stent Thrombosis

scholarly journals Acute MI in a stented patient following snake bite-possibility of stent thrombosis – A case report

2013 ◽  
Vol 65 (3) ◽  
pp. 327-330 ◽  
Author(s):  
Roplekar Satish ◽  
Roplekar Kanchan ◽  
Rajebhosale Yashawant ◽  
Deshpande Ashish ◽  
Roplekar Kedar
Keyword(s):  
Case Report ◽  
Stent Thrombosis ◽  
Snake Bite ◽  
Acute Mi
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