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Case Reports
Emergent rescue extracranial-intracranial bypass for acute carotid stent thrombosis- case report.
- Karlo Toljan, Ivan Jovanović, Jakob Nemir, David Ozretić, Zdravka Poljaković, Vasilije Stambolija, and Goran Mrak.
- Department of Neurology, University Hospital Centre Zagreb, Zagreb, Croatia. Electronic address: karlo.toljan@gmail.com.
- World Neurosurg. 2019 Sep 1; 129: 242-244.
BackgroundAcute 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.Case DescriptionWe 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.ConclusionsNeurosurgical management may represent a rescue option for otherwise unmanageable acute carotid stent thrombosis.Copyright © 2019 Elsevier Inc. All rights reserved.
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