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急性颈动脉支架血栓形成

Acute carotid stent thrombosis.

作者信息

Kahyaoglu Muzaffer, Velioglu Murat, Gecmen Cetin, Kalayci Arzu, Cakmak Ender Ozgun, Izgi İbrahim Akin

机构信息

Department of Cardiology, Kartal Kosuyolu Heart & Research Hospital, Istanbul, Turkey.

Department of Radiology, Kartal Kosuyolu Heart & Research Hospital, Istanbul, Turkey.

出版信息

J Cardiovasc Thorac Res. 2018;10(4):243-245. doi: 10.15171/jcvtr.2018.42. Epub 2018 Dec 5.

DOI:10.15171/jcvtr.2018.42
PMID:30680085
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6335984/
Abstract

Carotid artery stenting is a method used in the treatment of extracranial carotid artery stenosis that is becoming increasingly more common. Acute carotid thrombosis following CAS is a very rare and devastating complication that can be lethal for the patient unless treated immediately. We report a case of acute carotid stent thrombosis occurring immediately after emergent revascularization, and that was treated with intraarterial tissue plasminogen activator and intravenous tirofiban infusion.

摘要

颈动脉支架置入术是治疗颅外颈动脉狭窄越来越常用的一种方法。颈动脉支架置入术后急性血栓形成是一种非常罕见且严重的并发症，若不立即治疗可导致患者死亡。我们报告1例在紧急血运重建后立即发生的急性颈动脉支架内血栓形成病例，该病例采用动脉内注射组织纤溶酶原激活剂和静脉输注替罗非班进行治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a33/6335984/6dbfa49b4318/jcvtr-10-243-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a33/6335984/c7922b1bfd10/jcvtr-10-243-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a33/6335984/6dbfa49b4318/jcvtr-10-243-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a33/6335984/c7922b1bfd10/jcvtr-10-243-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a33/6335984/6dbfa49b4318/jcvtr-10-243-g002.jpg

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本文引用的文献

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Is Acute Carotid Artery Stent Thrombosis an Avoidable Complication?急性颈动脉支架血栓形成是一种可避免的并发症吗？
J Stroke Cerebrovasc Dis. 2015 Oct;24(10):2219-22. doi: 10.1016/j.jstrokecerebrovasdis.2015.05.029. Epub 2015 Aug 21.
2
In-stent thrombosis after carotid artery stenting despite sufficient antiplatelet therapy in a bladder cancer patient.膀胱癌患者颈动脉支架置入术后支架内血栓形成，尽管给予了充分的抗血小板治疗。
J Stroke Cerebrovasc Dis. 2013 Oct;22(7):1196-200. doi: 10.1016/j.jstrokecerebrovasdis.2012.12.015. Epub 2013 Jul 5.
3
Acute carotid stent thrombosis: a case of surgical revascularization and review of treatment options.
急性颈动脉支架血栓形成：一例手术血运重建及治疗选择的综述
Vascular. 2012 Aug;20(4):217-20. doi: 10.1258/vasc.2011.cr0303. Epub 2012 May 10.
4
Safety and feasibility of intraarterial eptifibatide as a revascularization tool in acute ischemic stroke.动脉内依替巴肽作为急性缺血性脑卒中再通工具的安全性和可行性。
J Neurosurg. 2011 Apr;114(4):1008-13. doi: 10.3171/2010.8.JNS10318. Epub 2010 Sep 24.
5
Intra-arterial reteplase and intravenous abciximab in patients with acute ischemic stroke: an open-label, dose-ranging, phase I study.急性缺血性卒中患者动脉内注射瑞替普酶与静脉注射阿昔单抗：一项开放标签、剂量范围探索的I期研究。
Neurosurgery. 2006 Oct;59(4):789-96; discussion 796-7. doi: 10.1227/01.NEU.0000232862.06246.3D.
6
Surgical management of acute carotid thrombosis after carotid stenting: a report of three cases.颈动脉支架置入术后急性颈动脉血栓形成的外科治疗：三例报告
J Vasc Surg. 2005 Nov;42(5):993-6. doi: 10.1016/j.jvs.2005.06.031.
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Rescue revascularization therapy with a stent-in-stent technique for acute intracranial internal carotid artery occlusion.采用支架套叠技术进行抢救性血管再通治疗急性颅内颈内动脉闭塞。
Neurol Med Chir (Tokyo). 2005 May;45(5):253-8. doi: 10.2176/nmc.45.253.
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Successful revascularization of acute carotid stent thrombosis by facilitated thrombolysis.通过辅助溶栓成功实现急性颈动脉支架血栓形成的血管再通。
AJNR Am J Neuroradiol. 2004 Sep;25(8):1411-3.
9
Considerations in combination therapy: fibrinolytics plus glycoprotein IIb/IIIa receptor inhibitors in acute myocardial infarction.联合治疗的考量：急性心肌梗死中纤溶药物加糖蛋白IIb/IIIa受体抑制剂
Clin Cardiol. 2004 Jul;27(7):381-6. doi: 10.1002/clc.4960270703.
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