Department of Neurosurgery, Endovascular Neurosurgery Service, Hospital Nacional Guillermo Almenara Irigoyen-EsSalud, Peru.
University of Washington School of Medicine, Department of Radiology, United States.
J Clin Neurosci. 2020 Nov;81:18-20. doi: 10.1016/j.jocn.2020.09.020. Epub 2020 Sep 25.
Subacute in-stent thrombosis is a rare but potentially fatal condition that can occur after treatment for intracranial aneurysms or stenosis. While immediate and late thromboembolic post-stent complications are well-described, subacute (2-30 days post-intervention) thrombosis is unusual. The administration of peri-operative dual anti-platelet therapy (DAPT) has significantly reduced the risk for thrombosis, but questions remain as to the choice of agents and treatment of thromboembolic complications in this setting. We present our acute endovascular management strategies for three patients who suffered thromboembolic complications.
支架内亚急性血栓形成是一种罕见但潜在致命的疾病，可发生在颅内动脉瘤或狭窄治疗后。虽然支架内即时和晚期血栓栓塞后并发症已有详细描述，但支架内亚急性（介入后 2-30 天）血栓形成并不常见。围手术期双联抗血小板治疗（DAPT）的应用显著降低了血栓形成的风险，但在这种情况下，仍存在关于药物选择和血栓栓塞并发症治疗的问题。我们介绍了 3 例发生血栓栓塞并发症患者的急性血管内治疗策略。
