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 language | English (US) |
---|---|
Pages (from-to) | 2700-2702 |
Number of pages | 3 |
Journal | Stroke |
Volume | 32 |
Issue number | 11 |
State | Published - Nov 24 2001 |
Externally published | Yes |
Keywords
- Carotid artery
- Ischemic
- Stents
- Stroke
- Thrombosis
ASJC Scopus subject areas
- Clinical Neurology
- Cardiology and Cardiovascular Medicine
- Advanced and Specialized Nursing