Porcine model of stent thrombosis: Platelets are the primary component of acute stent closure

Jeong, Myung Ho; Owen, Whyte G.; Staab, Michael E.; Srivatsa, Sanjay S.; Sangiorgi, Giuseppe; Stewart, M. A.; Holmes, David R.; Schwartz, Robert S.

doi:10.1002/(sici)1097-0304(199605)38:1<38::aid-ccd9>3.0.co;2-4

Cited by 66 publications

(28 citation statements)

References 14 publications

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“…14,17) Medication with aspirin and ticlopidine after coronary artery stenting prevents thrombus formation more effectively than medication with only heparin or with aspirin and warfarin. 16) Therefore, combination antiplatelet therapy is currently recommended as the standard periprocedural medication to prevent thrombosis.…”

Section: Discussionmentioning

confidence: 99%

Recurrent Subacute In-stent Restenosis After Carotid Artery Stenting due to Plaque Protrusion -Case Report-

Takigawa

Matsumaru

Kubo

et al. 2009

Neurol. Med. Chir.(Tokyo)

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A 70-year-old male presented with transient ischemic attacks manifesting as right hemiparesis and motor aphasia due to severe left cervical internal carotid artery stenosis. Carotid artery stenting (CAS) using a flow-reversal system was performed without complications. However, the patient exhibited transient right hemiparesis and motor aphasia 10 days after CAS. Emergent angiography demonstrated in-stent restenosis. In-stent percutaneous transluminal angioplasty and CAS were performed successfully using a distal protection system. However, duplex ultrasound scanning revealed progressive in-stent restenosis, 3 and 6 days after the re-treatment. Emergent angiography again demonstrated in-stent restenosis. Urgent stent removal and carotid endarterectomy were performed. Plaque had prolapsed through the stent. Histological examination revealed that the specimen was mainly plaque consisting of cholesterol crystals and macrophages. The patient was able to return to independent life without neurological deficit. Repeated endovascular surgery with appropriate antiplatelet and anticoagulation therapy should be attempted initially to treat in-stent restenosis. Endarterectomy with stent removal should be considered as a rescue option, especially if plaque protrusion is identified.

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Section: Discussionmentioning

confidence: 99%

Recurrent Subacute In-stent Restenosis After Carotid Artery Stenting due to Plaque Protrusion -Case Report-

Takigawa

Matsumaru

Kubo

et al. 2009

Neurol. Med. Chir.(Tokyo)

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“…16,17 This problem is uncommon in peripheral stents, and thus local or embolic thrombotic events are not likely to be seen in peripheral stenting studies. Nevertheless, stent thrombosis should be considered in all cases of poor outcome.…”

Section: Stent Thrombosismentioning

confidence: 99%

Preclinical Evaluation of Drug-Eluting Stents for Peripheral Applications

et al. 2004

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“…4,12,27) Acute thrombosis after intervention is the result of aggregation of activated platelets. 14,20) Medication with a combination of aspirin and ticlopidine after coronary artery stenting prevented thrombus formation more effectively than medication with heparin only or with aspirin and warfarin. 16) Therefore, combination antiplatelet therapy is currently recommended as the standard periprocedural medication.…”

Section: Discussionmentioning

confidence: 99%

Successful Recanalization by In-Stent Percutaneous Transluminal Angioplasty With Distal Protection for Acute Carotid Stent Thrombosis-Case Report-

Masuo

Terada

Matsuda

et al. 2006

Neurol. Med. Chir.(Tokyo)

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A 71-year-old male presented with severe left cervical internal carotid artery stenosis manifesting as repeated transient ischemic attacks consisting of right hemiparesis and motor aphasia. Carotid artery stenting (CAS) under distal protection was performed to prevent further ischemic events. This procedure was uneventful. However, the patient exhibited progressive right hemiparesis and motor aphasia 3 days after CAS. Emergent angiography revealed carotid artery occlusion due to in-stent thrombosis. In-stent percutaneous transluminal angioplasty (PTA) was performed under distal protection. The carotid artery was recanalized with small residual thrombus. The neurological deficits almost completely disappeared after PTA. Follow-up angiography 9 months after stenting showed restenosis but no in-stent thrombosis. Carotid thrombosis after CAS can be resolved by in-stent PTA under distal protection and subsequent treatment with antithrombotic agents.

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Porcine model of stent thrombosis: Platelets are the primary component of acute stent closure

Cited by 66 publications

References 14 publications

Recurrent Subacute In-stent Restenosis After Carotid Artery Stenting due to Plaque Protrusion -Case Report-

Recurrent Subacute In-stent Restenosis After Carotid Artery Stenting due to Plaque Protrusion -Case Report-

Preclinical Evaluation of Drug-Eluting Stents for Peripheral Applications

Successful Recanalization by In-Stent Percutaneous Transluminal Angioplasty With Distal Protection for Acute Carotid Stent Thrombosis-Case Report-

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