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Case Reports
. 2004 Sep;25(8):1411-3.

Successful revascularization of acute carotid stent thrombosis by facilitated thrombolysis

Sabine Steiner-Böker  1 , Manfred Cejna, Christian Nasel, Erich Minar, Christoph W Kopp
Affiliations
Case Reports

Successful revascularization of acute carotid stent thrombosis by facilitated thrombolysis

Sabine Steiner-Böker et al. AJNR Am J Neuroradiol. 2004 Sep.

Abstract

A 64-year-old woman undergoing protected carotid artery stent placement developed acute stent thrombosis despite pretreatment with combined antiplatelet therapy. A reduced dose of recombinant tissue plasminogen activator and a half-dose bolus of abciximab were administered intra-arterially via superselective catherization followed by systemic intravenous infusion of abciximab for 12 hours. Control angiography showed complete restoration of blood flow paralleled by neurologic improvement.

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Figures

F<sc>ig</sc> 1.
Fig 1.
Resolution of acute carotid stent thrombosis by combined administration of rtPA and abciximab. A, Digital subtraction angiogram obtained before intervention. Arrow indicates 85% stenosis of the right proximal ICA. B, Small arrows indicate thrombus formation within the proximal stented segment and total thrombotic occlusion of the distal stented segment. Filter WilterEx protection device in situ in the distal ICA (arrowhead). C, Restoration of blood flow with moderate residual vasospasm distal of the stented segment after successful combined thrombolysis.
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