Endovascular management of symptomatic carotid artery stenosis in a patient with thrombocytopenia.
BACKGROUND
Various medical comorbidities such as thrombocytopenia can be obstacles for managing patients with carotid artery disease.


METHODS
We describe our experience with urgent carotid artery stenting for symptomatic carotid artery stenosis in a patient with severe thrombocytopenia. During the treatment, several issues such as mechanism of infarction in carotid artery stenosis, timing of endovascular intervention, and decision making for intervention in patients with thrombocytopenia were discussed. Although the patient experienced complications after carotid artery stenting, he recovered with only mild sequelae.


CONCLUSIONS
Timely decision is required and individualized treatment strategies should be considered to achieve good results under the given conditions.
Department of Neurology, College of Medicine, Korea University Guro Hospital, Korea University, Seoul, Korea.
Woo-Keun
WK
Seo
Department of Neurology, College of Medicine, Korea University Guro Hospital, Korea University, Seoul, Korea.
Seong-Beom
SB
Koh
Department of Internal Medicine, College of Medicine, Korea University Guro Hospital, Korea University, Seoul, Korea.
Chul Won
CW
Choi
Department of Radiology, College of Medicine, Korea University Guro Hospital, Korea University, Seoul, Korea.
Hye-Young
HY
Seol
D000368:Aged; D001853:Bone Marrow / Q000473:pathology; D016893:Carotid Stenosis / Q000150:complications / Q000601:surgery*; D002533:Cerebral Angiography; D038524:Diffusion Magnetic Resonance Imaging; D004172:Diplopia / Q000209:etiology; D017352:Echo-Planar Imaging; D016894:Endarterectomy, Carotid; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D008297:Male; D010291:Paresis / Q000209:etiology; D010347:Patient Care Planning; D015607:Stents; D020521:Stroke / Q000209:etiology; D013921:Thrombocytopenia / Q000150:complications* / Q000473:pathology; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome