Wei Wei, Wang Yan, Wang Pian, Li Zheng
Department of Emergency, Chengdu Second People's Hospital, Chengdu, China.
Department of Neurology, Chengdu Fifth People's Hospital, Chengdu, China.
J Int Med Res. 2021 Mar;49(3):3000605211001191. doi: 10.1177/03000605211001191.
Carotid artery stenting (CAS) is an alternative strategy to carotid endarterectomy for the prevention of ischemic stroke. Acute carotid stent thrombosis (ACST) is an extremely rare but devastating complication of CAS. Although cases of successful recanalization have been reported, there is still a lack of experience regarding the choice of ACST treatment methods and the timing of such treatments, especially when patients are confirmed heterozygotes. Here, we report a case of successful revascularization after ACST in a patient with heterozygosity. We also review the literature and discuss appropriate treatment strategies for this devastating and rare event.
颈动脉支架置入术（CAS）是预防缺血性卒中的一种替代颈动脉内膜切除术的策略。急性颈动脉支架血栓形成（ACST）是CAS极其罕见但具有毁灭性的并发症。尽管已有成功再通的病例报道，但在ACST治疗方法的选择和治疗时机方面仍缺乏经验，尤其是当患者被确诊为杂合子时。在此，我们报告一例杂合子患者发生ACST后成功血运重建的病例。我们还回顾了文献并讨论了针对这一毁灭性罕见事件的适当治疗策略。
