Department of Neurology, University Hospital Centre Zagreb, Zagreb, Croatia.
Department of Diagnostic and Interventional Radiology, University Hospital Centre Zagreb, Zagreb, Croatia.
World Neurosurg. 2019 Sep;129:242-244. doi: 10.1016/j.wneu.2019.06.052. Epub 2019 Jun 14.
Acute stent thrombosis is a rare adverse event following endovascular treatment of carotid artery. Experience on the topic is scarce, making the therapeutic approach a clinical challenge. In cases of intraprocedural acute carotid stent thrombosis, thromboaspiration, thrombectomy, and thrombolysis have been used as successful modalities for achieving recanalization.
We describe a case of carotid artery dissection treated endovascularly and complicated by intraprocedural stent thrombosis, which was ultimately managed by emergent extracranial-intracranial bypass with radial artery graft connecting the external carotid artery to the ipsilateral middle cerebral artery.
Neurosurgical management may represent a rescue option for otherwise unmanageable acute carotid stent thrombosis.
急性支架内血栓形成是血管内治疗颈动脉后的一种罕见不良事件。在这方面的经验很少，因此治疗方法具有临床挑战性。在术中发生急性颈动脉支架内血栓形成的情况下，血栓抽吸、血栓切除术和溶栓已被用作实现再通的成功方式。
我们描述了一例血管内治疗的颈动脉夹层病例，术中发生支架内血栓形成，最终通过紧急颅外-颅内旁路手术用桡动脉移植物将颈外动脉连接到对侧大脑中动脉来治疗。
神经外科治疗可能是治疗急性颈动脉支架内血栓形成的一种挽救方法。
