Japanese Journal of Stroke
Online ISSN : 1883-1923
Print ISSN : 0912-0726
ISSN-L : 0912-0726
Originals
Rescue stenting for subacute thrombosis after carotid stenting-Report of 2 cases
Takehiro NaitoShigeru MiyachiTakashi IzumiNoriaki MatsubaraKen-ichi HaraguchiShigekazu NakamuraMasaki SumitomoToshihiko Wakabayashi
Author information
JOURNAL FREE ACCESS

2010 Volume 32 Issue 5 Pages 427-433

Details
Abstract
Acute revascularization of carotid artery occlusion after carotid artery stenting (CAS) remains controversial. This report describes successful revascularization by the deployment of rescue stents in two patients with subacute in-stent thrombosis (SAT) of internal carotid arteries (ICA) that had become re-occluded. The postoperative courses of both patients were uneventful, and the patency of the ICA was confirmed at follow-up one year later. The development of SAT in these two patients might have been due to insufficient antiplatelet therapy. We used proximal and distal balloon catheters as protection devices during all procedures and subsequently aspirated clots. Rescue stent-in-stenting is an effective alternative treatment for SAT if all clots can be safely removed under absolute carotid protection without migration into the brain.
Content from these authors
© 2010 The Japan Stroke Society
Next article
feedback
Top