Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 16, 2022; 10(26): 9310-9317
Published online Sep 16, 2022. doi: 10.12998/wjcc.v10.i26.9310
Acute carotid stent thrombosis: A case report and literature review
Jian-Bin Zhang, Xue-Qiang Fan, Jie Chen, Peng Liu, Zhi-Dong Ye
Jian-Bin Zhang, Xue-Qiang Fan, Jie Chen, Peng Liu, Zhi-Dong Ye, Department of Cardiovascular Surgery, China-Japan Friendship Hospital, Beijing 100029, China
Author contributions: Zhang JB, Fan XQ, and Chen J contributed equally to this work; Zhang JB, Fan XQ, Chen J, and Ye ZD designed the study; Zhang JB, Fan XQ, Chen J, and Ye ZD conducted the study; Zhang JB, Fan XQ, and Liu P analyzed the data and wrote the manuscript; All authors have read and approved the final manuscript.
Supported by Elite Medical Professionals Project of China-Japan Friendship Hospital, No. ZRJY2021-QM13.
Informed consent statement: The patient gave consent to use his medical record for educational and publication purposes.
Conflict-of-interest statement: The authors have no conflicts to declare.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Zhi-Dong Ye, MD, Chief Doctor, Department of Cardiovascular Surgery, China-Japan Friendship Hospital, No. 2 Yinghua East Street, Beijing 100029, China. yezhidong6618@yeah.net
Received: August 6, 2021
Peer-review started: August 6, 2021
First decision: November 6, 2021
Revised: November 10, 2021
Accepted: August 5, 2022
Article in press: August 5, 2022
Published online: September 16, 2022
Processing time: 391 Days and 6.5 Hours
Abstract
BACKGROUND

Acute carotid stent thrombosis (ACST) is a rare but devastating complication in the carotid artery stenting (CAS) procedure. The aim of this article is to report a case and review cases of ACST reported in the literature, and investigate risk factors and management strategies for ACST.

CASE SUMMARY

We reviewed the treatment process of a patient with ACST after CAS. Then multiple databases were systematically searched to identify studies reporting ACST from 2005 to 2020. The demographic data, risk factors, treatment strategies, and prognosis were extracted and analyzed.

CONCLUSION

The reason for ACST is multifactorial. Proper patient selection, normative anti-platelet treatment, and perfect technical detail may decrease the incidence of ACST. Several treatment strategies such as thrombolysis, mechanical thrombectomy, and open surgery may be options for the treatment of ACST. Limited data have shown that carotid endarterectomy is effective with favorable results.

Keywords: Acute carotid stent thrombosis; Carotid artery stenosis; Carotid artery stenting; Treatment; Case report

Core Tip: The reason for acute carotid stent thrombosis (ACST) is multifactorial. Proper patient selection, normative anti-platelet treatment, and perfect technical detail may decrease the incidence of ACST. Several treatment strategies such as thrombolysis, mechanical thrombectomy, and open surgery may be options for the treatment of ACST. Limited data have shown carotid endarterectomy is effective with favorable results.