title: Acute carotid stent thrombosis: a case of surgical revascularization and review of treatment options.
abstract: Carotid artery stenting is considered to be an alternative to carotid endarterectomy for selected patients by many vascular specialists around the world. Acute stent thrombosis following the procedure, although very infrequent, can risk the survival of the patient. In this report, we present a case of acute stent thrombosis 24 hours following the procedure. After a slow deterioration of the clinical state of the patient, he was urgently subjected to thrombectomy with extraction of the stent, with eventual resolution of his symptoms. A review of the current literature is presented together with all the possible treatment options of this serious complication. In conclusion, several neurorescue procedures are available for the vascular surgeon who has to act urgently and, in some cases, aggressively, when stent thrombosis is diagnosed.
authors.affiliation: Department of Thoracic and Great Vessels Surgery, Saint-Joseph Hospital, Marseille, France. fotisvs@hotmail.com
authors.forename: Fotis
authors.initials: F
authors.lastname: Markatis
authors.forename: Andranyk
authors.initials: A
authors.lastname: Petrosyan
authors.forename: Timur
authors.initials: T
authors.lastname: Abdulamit
authors.forename: Patrice
authors.initials: P
authors.lastname: Bergeron
mesh_terms: D000208:Acute Disease; D000368:Aged; D000800:Angioplasty, Balloon / Q000009:adverse effects* / Q000295:instrumentation*; D016893:Carotid Stenosis / Q000000981:diagnostic imaging / Q000628:therapy*; D020878:Device Removal; D016894:Endarterectomy, Carotid; D006801:Humans; D008297:Male; D011859:Radiography; D015607:Stents; D017131:Thrombectomy; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome