Published online Mar 6, 2023. doi: 10.12998/wjcc.v11.i7.1666
Peer-review started: November 4, 2022
First decision: December 26, 2022
Revised: January 4, 2023
Accepted: February 15, 2023
Article in press: February 15, 2023
Published online: March 6, 2023
Processing time: 118 Days and 11.2 Hours
In this commentary on the article entitled “Acute carotid stent thrombosis: A case report and literature review”, the key points of the article are discussed. Acute carotid stent thrombosis (ACST) in the setting of carotid artery stenting (CAS) represents a rare but potentially catastrophic event. There is a wide range of treatment options available, including carotid endarterectomy, which is generally recommended for cases of refractory ACST. While there is no standard treatment regimen, dual antiplatelet therapy is typically recommended both before and after CAS to reduce risk of ACST.
Core Tip: This commentary evaluates the article entitled “Acute carotid stent thrombosis: A case report and literature review”, discussing acute carotid stent thrombosis and the current treatment options available. Specifically, carotid endarterectomy is evaluated as a treatment option for refractory stent thrombosis. Additionally, dual antiplatelet therapy, stent material, and stent architectural design are addressed in the commentary.