Sandwich Stenting Technique Successfully Performed for Acute Carotid Artery Stent Thrombosis: A Case Report

Yıl 2018, Cilt: 21 Sayı: 1, 79 - 81, 01.04.2018

Abdullah İçli Ahmet Lütfü Sertdemir Kurtuluş Özdemir

Öz

Even
though acute carotid stent thrombosis is a rare complication of carotid artery
stenting (CAS), it can cause fatal thromboembolic events. There are limited
numbers of techniques that can be applied during such emergencies. In this
study, we report a case in which the sandwich technique was successfully
performed in the acute in-stent thrombosis. Conclusively, in-procedural
in-stent thrombosis following CAS must be rapidly evaluated and treated,
allowing the efficient prevention of catastrophic events. Thus, sandwich stent
technique is a rapid and efficient method for treating acute in-stent
thrombosis.

Anahtar Kelimeler

Carotid stenting, in-stent thrombosis, complications, sandwich technique

Akut Karotis Stent Trombozunda Başarılı Sandviç Tekniği Olgusu

Öz

Akut
karotis arter stent (KAS) trombozu nadir bir komplikasyon olmasına rağmen fatal
tromboembolik olaylara neden olabilir. Akut olaylarda uygulanabilecek sınırlı
sayıda teknik olmakla birlikte bu olgu bildirimizde akut KAS trombozunda başarılı
bir şekilde uygulanan “sandviç stent tekniğini” sunmaktayız. Prosedürel akut
KAS trombozu hızlı ve etkin bir şekilde değerlendirilerek tedavi edilmesi
gereken bir durumdur. Bu olgumuzda kullandığımız teknik böyle katastrofik
durumlarla başetmede hızlı ve güvenli alternatif bir yöntem olarak
kullanılabilir.

Anahtar Kelimeler

Karotis stentleme, instent tromboz, komplikasyon, sandviç tekniği

Kaynakça

• 1. Markatis F, Petrosyan A, Abdulamit T, Bergeron P. Acute carotid stent thrombosis: a case of sargıca revascularization ant revire of türetmen options. Vascular 2012;20:217-20.
• 2. Setacci C, de Donato G, Setacci F, Chisci E, Cappelli A, Pieraccini M, et al. Surgical management of acute carotid thrombosis after carotid stenting: a report of three cases. A J Vasc Surg 2005;42:993-6.
• 3. Okazaki T, Satomi J, Satoh K, Hirasawa M, Nagahiro S. Rescuerevascularization therapy with a stent-in-stent technique for acute intracranial internal carotid artery occlusion. Neurol Med Chir 2005;45:253-8.
• 4. Iancu A, Grosz C, Lazar A. Acute carotid stent thrombosis: review of the literature and long-term follow-up. Cardiovasc Revasc Med 2010;11:110-3.
• 5. Steiner-Boker S, Cejna M, Nasel C, Minar E, Kopp CW. Successful revascularization of acute carotid stent thrombosis by facilitated thrombolysis. AJNR Am J Neuroradiol 2004;25:1411-3.
• 6. Masuo O, Terada T, Matsuda Y, Ogura M, Tsumoto T, Yamaga H, et al. T. Successful recanalization by in-stent percutaneous transluminal angioplasty with distal protection for acute carotid stent thrombosis. Neurol Med Chir 2006;46:495-9.
• 7. Kurisu K, Manabe H, Ihara T. Case of symptomatic subacute in-stent thrombosis after carotid angioplasty and stenting for severe carotid stenosis. No Shinkei Geka 2007;35:1001-5.
• 8. Desai SS, Codreanu M, Charlton-Ouw KM, Safi H, Azizzadeh A. Impact of stentdesign on the outcome of intervention for carotid bifurcation stenosis. J Cardiovasc Surg 2010;51:799-806.
• 9. Hart JP, Bosiers M, Deloose K, Uflacker R, Schönholz CJ. Endovascular repair of a ruptured subclavian artery aneurysm in a patient with Ehlers-Danlos syndrome using a sandwich technique. Vascular 2014;22:371-4.