Surgical management of acute carotid thrombosis after carotid stenting: A report of three cases Carlo Setacci, MD, Gianmarco de Donato, MD, Francesco.

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Presentation transcript:

Surgical management of acute carotid thrombosis after carotid stenting: A report of three cases Carlo Setacci, MD, Gianmarco de Donato, MD, Francesco Setacci, MD, Emiliano Chisci, MD, Alessandro Cappelli, MD, Massimo Pieraccini, MD, Fausto Castriota, MD, Alberto Cremonesi, MD Journal of Vascular Surgery Volume 42, Issue 5, Pages 993-996 (November 2005) DOI: 10.1016/j.jvs.2005.06.031 Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 1 Ultrasound images demonstrate incomplete stent thrombosis due to plaque protrusion through the cell stent: (a) transversal scan; (b) longitudinal scan. Journal of Vascular Surgery 2005 42, 993-996DOI: (10.1016/j.jvs.2005.06.031) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 2 Complete carotid stent occlusion in a patient with thrombocythemia. Journal of Vascular Surgery 2005 42, 993-996DOI: (10.1016/j.jvs.2005.06.031) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 3 Carotid stent removed. Journal of Vascular Surgery 2005 42, 993-996DOI: (10.1016/j.jvs.2005.06.031) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 4 An agiogram shows the carotid thrombosis limited to the intrastent segment (cardiac embolism). Journal of Vascular Surgery 2005 42, 993-996DOI: (10.1016/j.jvs.2005.06.031) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 5 Surgical strategy: (a) common carotid artery (CCA) and external carotid artery (ECA) clamping, transverse arteriotomy of the CCA (near the stent); (b) internal carotid artery (ICA) flow reversal and embolectomy. Journal of Vascular Surgery 2005 42, 993-996DOI: (10.1016/j.jvs.2005.06.031) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions