Successful Percutaneous Rescue Treatment of Acute Carotid Stent Thrombosis Utilizing a Modified Embolic Protection Device

Acute Carotid Stent Thrombosis (ACST) is a rare complication of Carotid Artery Stenting (CAS) with a potentially fatal outcome. We report a case of ACST occurring five minutes after the end of a successful CAS procedure that was promptly treated by carotid stent-in-stent implantation using a new percutaneous strategy based on the creation of a modified embolic protection device. Following the procedure, we did not observe brain lesions suggestive of acute cerebral ischemic events at the CT scan performed at 48 hours, as well as no neurological deficits in the following days.

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Publication Details

Journal
Vascular and Endovascular Surgery
Published
2024-10-03
DOI
https://doi.org/10.1177/15385744241290006
Primary Topic
Cerebrovascular and Carotid Artery Diseases
Type
article
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article

Successful Percutaneous Rescue Treatment of Acute Carotid Stent Thrombosis Utilizing a Modified Embolic Protection Device

Alessandro Di Giorgio, Davide Tomasello, Alessandro Mazzapicchi, Carla Rochira et al.
Vascular and Endovascular Surgery
Cerebrovascular and Carotid Artery Diseases
article

Successful Percutaneous Rescue Treatment of Acute Carotid Stent Thrombosis Utilizing a Modified Embolic Protection Device

Alessandro Di Giorgio, Davide Tomasello, Alessandro Mazzapicchi, Carla Rochira, Francesco Scardaci, Salvatore Azzarelli, Francesco Amico, Vincenzo Argentino
article en

Abstract

Acute Carotid Stent Thrombosis (ACST) is a rare complication of Carotid Artery Stenting (CAS) with a potentially fatal outcome. We report a case of ACST occurring five minutes after the end of a successful CAS procedure that was promptly treated by carotid stent-in-stent implantation using a new percutaneous strategy based on the creation of a modified embolic protection device. Following the procedure, we did not observe brain lesions suggestive of acute cerebral ischemic events at the CT scan performed at 48 hours, as well as no neurological deficits in the following days.

Vascular and Endovascular SurgeryVol. 59(3)
University of Catania (IT), IRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola (IT), Policlinico Universitario di Catania (IT), Ospedale Cannizzaro (IT), University of Bologna (IT)
Good health and well-being
Openalex Percentile: Top 68%
Cerebrovascular and Carotid Artery Diseases
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