S Chaturvedi1, S Sohrab, A Tselis. 1. Department of Neurology and Stroke Program, Wayne State University, Detroit, Michigan, USA. schaturv@med.wayne.edu
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.
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:CSthrombosis can be a cause of fatal iatrogenic stroke. Combination antiplatelet therapy should be administered to decrease the incidence of this complication.
Authors: Sabine Steiner-Böker; Manfred Cejna; Christian Nasel; Erich Minar; Christoph W Kopp Journal: AJNR Am J Neuroradiol Date: 2004-09 Impact factor: 3.825
Authors: R Oteros; E Jimenez-Gomez; F Bravo-Rodriguez; J J Ochoa; R Guerrero; F Delgado Journal: AJNR Am J Neuroradiol Date: 2012-03-15 Impact factor: 3.825