Rescue of immediate post-transcarotid artery revascularization carotid stent thrombosis due to clopidogrel resistance using flow-reversal and aspiration thrombectomy

被引：3
作者：
Lu, Joyce [1 ,2 ]
机构：
[1] Kaweah Hlth, Vasc Surg Div, Visalia, CA USA
[2] South Valley Vasc Associates, Div BASS Med Grp, 820 S Akers St,Suite 120, Visalia, CA 93277 USA
来源：
JOURNAL OF VASCULAR SURGERY CASES INNOVATIONS AND TECHNIQUES | 2023年 / 9卷 / 02期
关键词：
Acute carotid stent thrombosis; Cangrelor; Clopidogrel resistance; Ticagrelor; Transcarotid artery revascularization (TCAR); ANTIPLATELET THERAPY; MANAGEMENT; TICAGRELOR; STEROIDS; STROKE;
D O I：
10.1016/j.jvscit.2023.101205
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
An 84-year-old patient developed immediate thrombosis of his carotid stent in recovery after transcarotid artery revas-cularization. In the present report, the technical details about intraoperative management for neurovascular rescue using the transcarotid artery revascularization flow-reversal system are described. The patient was determined to have clopi-dogrel resistance. Intraoperative medical management is also discussed. The current alternative intravenous and oral antiplatelet therapies such as glycoprotein IIb/IIIa and P2Y12 inhibitors are explored. The debate regarding preoperative antiplatelet resistance testing remains ambiguous, and increasing studies have demonstrated the safety and efficacy of alternatives to clopidogrel. Despite an unpredictable and devastating complication, the patient's outcome was successful using contemporary strategies. (J Vasc Surg Cases Innov Tech 2023;9:101205.)
引用
收藏
页码：1 / 5
页数：5
相关论文
共 27 条
  • [21] Endovascular treatment of an internal carotid artery thrombus using reversal of flow: A case report
    Parodi, JC
    Rubin, BG
    Azizzadeh, A
    Bartoli, M
    Sicard, GA
    [J]. JOURNAL OF VASCULAR SURGERY, 2005, 41 (01) : 146 - 150
  • [22] Surgical management of acute carotid thrombosis after carotid stenting: A report of three cases
    Setacci, C
    de Donato, G
    Setacci, F
    Chisci, E
    Cappelli, A
    Pieraccini, M
    Castriota, F
    Cremonesi, A
    [J]. JOURNAL OF VASCULAR SURGERY, 2005, 42 (05) : 993 - 996
  • [23] Results of carotid artery stenting with transcervical access
    Sfyroeras, George S.
    Moulakakis, Konstantinos G.
    Markatis, Fotis
    Antonopoulos, Constantinos N.
    Antoniou, George A.
    Kakisis, John D.
    Brountzos, Elias N.
    Liapis, Christos D.
    [J]. JOURNAL OF VASCULAR SURGERY, 2013, 58 (05) : 1402 - 1407
  • [24] Neuro-rescue during Carotid Renting
    van den Berg, J. C.
    [J]. EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2008, 36 (06) : 627 - 636
  • [25] Perioperative Bridging With Glycoprotein IIb/IIIa Inhibitors Versus Cangrelor: Balancing Efficacy and Safety
    Van Tuyl, Joseph S.
    Newsome, Andrea Sikora
    Hollis, Ian B.
    [J]. ANNALS OF PHARMACOTHERAPY, 2019, 53 (07) : 726 - 737
  • [26] Wei W, 2021, J INT MED RES
  • [27] Safety and Efficacy of Periprocedural Bridging With Cangrelor Versus Eptifibatide
    Yun, Allison N.
    Toyoda, Alex Y.
    Solomon, Edmond J.
    Roberts, Russel J.
    Ji, Christine S.
    [J]. JOURNAL OF CARDIOVASCULAR PHARMACOLOGY, 2022, 79 (03) : 383 - 389
123