Carotid Stent Thrombosis
- 1 November 2001
- journal article
- review article
- Published by Ovid Technologies (Wolters Kluwer Health) in Stroke
- Vol. 32 (11), 2700-2702
- https://doi.org/10.1161/str.32.11.2700
Abstract
Background — Carotid stenting is receiving increased attention as an alternative to carotid endarterectomy. Carotid stent thrombosis is a rare complication of this procedure. Case Descriptions — We present 2 case reports from a university medical center. Two patients had angiographically confirmed carotid stent (CS) thrombosis with subsequent fatal strokes. The first was a 63-year-old woman who developed stent thrombosis after the procedure was performed for a postendarterectomy intimal flap. The second patient was a 57-year-old man who underwent CS placement for transient ischemic attacks and developed internal carotid artery occlusion at the level of the stent 3 days later. Neither patient was treated with combination antiplatelet therapy before or after CS placement. Both patients died. Conclusions — CS thrombosis can be a cause of fatal iatrogenic stroke. Combination antiplatelet therapy should be administered to decrease the incidence of this complication.Keywords
This publication has 6 references indexed in Scilit:
- Causes of early reintervention after successful coronary artery stentingThe American Journal of Cardiology, 2000
- Cerebral Hyperperfusion Syndrome after Percutaneous Transluminal Stenting of the Craniocervical ArteriesNeurosurgery, 2000
- Global experience in cervical carotid artery stent placementCatheterization and Cardiovascular Interventions, 2000
- Carotid artery stenting: Rationale, indications, and resultsComprehensive Therapy, 1999
- A Clinical Trial Comparing Three Antithrombotic-Drug Regimens after Coronary-Artery StentingThe New England Journal of Medicine, 1998
- Carotid artery stenosis: treatment with protected balloon angioplasty and stent placement.Radiology, 1996