Emergent Rescue Extracranial-Intracranial Bypass for Acute Carotid Stent Thrombosis Report

Scientific paper - Case study

• Author: Karlo Toljan
• Author: Ivan Jovanović
• Author: Jakob Nemir
• Author: David Ozretić
• Author: Zdravka Poljaković
• Author: Vasilije Stambolija
• Author: Goran Mrak
• Author's institution: University of Zagreb; School of Medicine; (Department of Surgery)
• Author's institution: University of Zagreb; School of Medicine; (Department of Neurology)
• Author's institution: University of Zagreb; School of Medicine; (Department of Radiology)
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Surgery
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Radiology
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Neurology

Abstract (english)

Background: 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.
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Case description: 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.
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Conclusions: Neurosurgical management may represent a rescue option for otherwise unmanageable acute carotid stent thrombosis.

• Keywords (english): Carotid Artery Thrombosis / etiology; Carotid Artery Thrombosis / surgery; Carotid Stenosis / surgery; Cerebral Revascularization / methods; Endovascular Procedures / adverse effects; Endovascular Procedures / methods; Humans; Intraoperative Complications / etiology; Intraoperative Complications / surgery; Male; Middle Aged; Stents / adverse effects
• Language: english
• Publication type: Scientific paper - Case study
• Publication status: Published
• Peer review: Peer review
• Publication version: Accepted version
• Journal title: World Neurosurgery
• Numbering: vol. 129, pp. 242-244
• p-ISSN: 1878-8750
• e-ISSN: 1878-8769
• DOI: https://doi.org/10.1016/j.wneu.2019.06.052
• URN:NBN: urn:nbn:hr:105:505876
• Publication: 2019-09
• Document URL: https://linkinghub.elsevier.com/retrieve/pii/S1878875019315931
• Type of resource: Text
• Access conditions: Open access
• Created on: 2021-02-08 11:40:30