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


Department of Neurology, University Hospital Centre Zagreb, Zagreb, Croatia. Electronic address: [Email]


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.
METHODS : 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.
CONCLUSIONS : Neurosurgical management may represent a rescue option for otherwise unmanageable acute carotid stent thrombosis.


Carotid artery thrombosis,Extracranial-intracranial arterial bypass,Internal carotid artery dissection,Stent,