Rescue use of tirofiban for acute carotid in-stent thrombosis

Carotid artery stenting is widely performed for extracranial carotid artery stenosis. In-stent thrombosis is a rare but potentially devastating complication. We present a case of acute in-stent thrombosis immediately following stent insertion and post-balloon dilatation in a 64-year-old male. Thromb...

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Bibliographic Details
Published in:Yonsei medical journal 2008, 49(1), , pp.163-166
Main Authors: Seo, Kwon Duk, Lee, Kee Oog, Kim, Dong Joon, Lee, Kyung-Yul
Format: Article
Language:English
Subjects:
Acute-Phase Reaction - drug therapy
Acute-Phase Reaction - pathology
Angiography
Carotid Artery Diseases - drug therapy
Carotid Artery Diseases - pathology
Case Report
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Stents
Thrombosis - drug therapy
Thrombosis - pathology
Tyrosine - analogs & derivatives
Tyrosine - therapeutic use
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Summary:Carotid artery stenting is widely performed for extracranial carotid artery stenosis. In-stent thrombosis is a rare but potentially devastating complication. We present a case of acute in-stent thrombosis immediately following stent insertion and post-balloon dilatation in a 64-year-old male. Thrombosis was successfully treated by intravenous tirofiban, a glycoprotein IIb/IIIa receptor inhibitor.
ISSN:0513-5796
1976-2437
DOI:10.3349/ymj.2008.49.1.163