Alessandro Di Giorgio, Alessandro Mazzapicchi, Carla Rochira, Salvatore Azzarelli, Francesco Scardaci, Davide Salvatore Tomasello, Vincenzo Argentino, Francesco Amico
{"title":"Successful Percutaneous Rescue Treatment of Acute Carotid Stent Thrombosis Utilizing a Modified Embolic Protection Device.","authors":"Alessandro Di Giorgio, Alessandro Mazzapicchi, Carla Rochira, Salvatore Azzarelli, Francesco Scardaci, Davide Salvatore Tomasello, Vincenzo Argentino, Francesco Amico","doi":"10.1177/15385744241290006","DOIUrl":null,"url":null,"abstract":"<p><p>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.</p>","PeriodicalId":94265,"journal":{"name":"Vascular and endovascular surgery","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Vascular and endovascular surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/15385744241290006","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
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.
急性颈动脉支架血栓形成（ACST）是颈动脉支架置入术（CAS）的一种罕见并发症，其结果可能是致命的。我们报告了一例在 CAS 手术成功结束五分钟后发生的 ACST 病例，该病例采用一种基于改良栓塞保护装置的新型经皮策略，通过颈动脉支架内支架植入术得到了及时治疗。手术后，我们在48小时的CT扫描中没有发现提示急性脑缺血事件的脑部病变，随后几天也没有发现神经功能障碍。
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