Carotid stent thrombosis: Report of 2 fatal cases

Seemant Chaturvedi, Sayyed Sohrab, Alexandros Tselis

Research output: Contribution to journalArticle

63 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)2700-2702
Number of pages3
JournalStroke
Volume32
Issue number11
StatePublished - Nov 24 2001
Externally publishedYes

Keywords

  • Carotid artery
  • Ischemic
  • Stents
  • Stroke
  • Thrombosis

ASJC Scopus subject areas

  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine
  • Advanced and Specialized Nursing

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    Chaturvedi, S., Sohrab, S., & Tselis, A. (2001). Carotid stent thrombosis: Report of 2 fatal cases. Stroke, 32(11), 2700-2702.