In-stent Thrombosis after Carotid Artery Stenting Despite Sufficient Antiplatelet Therapy in a Bladder Cancer Patient
In-stent thrombosis (IST) after carotid artery stenting (CAS) is a rare but potentially devastating complication. We present a case of early IST after CAS despite sufficient antiplatelet therapy in a patient with bladder cancer. A 77-year-old man under preventive triple antiplatelet therapy underwen...
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| Published in | Journal of stroke and cerebrovascular diseases Vol. 22; no. 7; pp. 1196 - 1200 |
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| Main Authors | , , , , , , , , |
| Format | Journal Article |
| Language | English |
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United States
Elsevier Inc
01.10.2013
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| Abstract | In-stent thrombosis (IST) after carotid artery stenting (CAS) is a rare but potentially devastating complication. We present a case of early IST after CAS despite sufficient antiplatelet therapy in a patient with bladder cancer. A 77-year-old man under preventive triple antiplatelet therapy underwent CAS without any intra- or periprocedural complications. However, the patient developed a large asymptomatic IST 6 days after CAS. Anticoagulant therapy with argatroban was reintroduced to treat IST concomitant with antiplatelet agents. Subsequently, the IST shrank and disappeared without any thrombotic symptoms. Malignancy is regarded as an acquired thrombophilic condition associated with a significant risk of thrombosis. In the field of coronary stents, cancer is associated with a significant increasing risk of IST. The cause of IST in our case was possibly related in hypercoagulable state because of the patient’s cancer. Attention for IST should be paid in CAS cases with these risk factors, and repeated examination is recommended. |
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| AbstractList | In-stent thrombosis (IST) after carotid artery stenting (CAS) is a rare but potentially devastating complication. We present a case of early IST after CAS despite sufficient antiplatelet therapy in a patient with bladder cancer. A 77-year-old man under preventive triple antiplatelet therapy underwent CAS without any intra- or periprocedural complications. However, the patient developed a large asymptomatic IST 6 days after CAS. Anticoagulant therapy with argatroban was reintroduced to treat IST concomitant with antiplatelet agents. Subsequently, the IST shrank and disappeared without any thrombotic symptoms. Malignancy is regarded as an acquired thrombophilic condition associated with a significant risk of thrombosis. In the field of coronary stents, cancer is associated with a significant increasing risk of IST. The cause of IST in our case was possibly related in hypercoagulable state because of the patient's cancer. Attention for IST should be paid in CAS cases with these risk factors, and repeated examination is recommended. |
| Author | Horikoshi, Toru, MD, PhD Hanihara, Mitsuto, MD Hashimoto, Koji, MD Kanemaru, Kazuya, MD, PhD Ozaki, Yukio, MD, PhD Kinouchi, Hiroyuki, MD, PhD Yoshioka, Hideyuki, MD, PhD Nishiyama, Yoshihisa, MD, PhD Satoh, Kaneo, PhD |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/23834849$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.3995/jstroke.32.427 10.1161/str.32.11.2700 10.1159/000064956 10.1016/j.jvs.2005.06.031 10.3349/ymj.2008.49.1.163 10.7887/jcns.18.305 10.1016/j.carrev.2009.02.008 10.1055/s-2005-863812 10.1177/152660280301000504 10.1212/01.wnl.0000216141.01262.77 10.1016/j.pcad.2010.06.004 10.2176/nmc.46.495 10.1016/j.jacc.2007.11.061 |
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| References | Steiner-Boker, Cejna, Nasel (bib5) 2004; 25 Bush, Bhama, Lin (bib4) 2003; 10 Kurisu, Manabe, Ihara (bib9) 2007; 35 Krone (bib15) 2010; 53 Masuo, Terada, Matsuda (bib8) 2006; 46 Takemoto (bib11) 2009; 18 Seo, Lee, Kim (bib10) 2008; 49 Gross, Posch, Geier (bib16) 2008; 51 Chaturvedi, Sohrab, Tselis (bib1) 2001; 32 Buhk, Wellmer, Knauth (bib7) 2006; 66 Iancu, Grosz, Lazar (bib12) 2010; 11 Falanga (bib14) 2005; 31 Hamann, Liebetrau, Pfefferkorn (bib3) 2002; 48 Naito (bib13) 2010; 32 Setacci, de Donato, Setacci (bib6) 2005; 42 Tong, Cloft, Joseph (bib2) 2000; 21 Buhk (10.1016/j.jstrokecerebrovasdis.2012.12.015_bib7) 2006; 66 Masuo (10.1016/j.jstrokecerebrovasdis.2012.12.015_bib8) 2006; 46 Takemoto (10.1016/j.jstrokecerebrovasdis.2012.12.015_bib11) 2009; 18 Naito (10.1016/j.jstrokecerebrovasdis.2012.12.015_bib13) 2010; 32 Kurisu (10.1016/j.jstrokecerebrovasdis.2012.12.015_bib9) 2007; 35 Seo (10.1016/j.jstrokecerebrovasdis.2012.12.015_bib10) 2008; 49 Krone (10.1016/j.jstrokecerebrovasdis.2012.12.015_bib15) 2010; 53 Setacci (10.1016/j.jstrokecerebrovasdis.2012.12.015_bib6) 2005; 42 Tong (10.1016/j.jstrokecerebrovasdis.2012.12.015_bib2) 2000; 21 Hamann (10.1016/j.jstrokecerebrovasdis.2012.12.015_bib3) 2002; 48 Iancu (10.1016/j.jstrokecerebrovasdis.2012.12.015_bib12) 2010; 11 Chaturvedi (10.1016/j.jstrokecerebrovasdis.2012.12.015_bib1) 2001; 32 Falanga (10.1016/j.jstrokecerebrovasdis.2012.12.015_bib14) 2005; 31 Steiner-Boker (10.1016/j.jstrokecerebrovasdis.2012.12.015_bib5) 2004; 25 Gross (10.1016/j.jstrokecerebrovasdis.2012.12.015_bib16) 2008; 51 Bush (10.1016/j.jstrokecerebrovasdis.2012.12.015_bib4) 2003; 10 |
| References_xml | – volume: 11 start-page: 110 year: 2010 end-page: 113 ident: bib12 article-title: Acute carotid stent thrombosis: Review of the literature and long-term follow-up publication-title: Cardiovasc Revasc Med contributor: fullname: Lazar – volume: 35 start-page: 1001 year: 2007 end-page: 1005 ident: bib9 article-title: Case of symptomatic subacute in-stent thrombosis after carotid angioplasty and stenting for severe carotid stenosis publication-title: No Shinkei Geka contributor: fullname: Ihara – volume: 42 start-page: 993 year: 2005 end-page: 996 ident: bib6 article-title: Surgical management of acute carotid thrombosis after carotid stenting: A report of three cases publication-title: J Vasc Surg contributor: fullname: Setacci – volume: 53 start-page: 149 year: 2010 end-page: 156 ident: bib15 article-title: Managing coronary artery disease in the cancer patient publication-title: Prog Cardiovasc Dis contributor: fullname: Krone – volume: 66 start-page: 1594 year: 2006 end-page: 1596 ident: bib7 article-title: Late in-stent thrombosis following carotid angioplasty and stenting publication-title: Neurology contributor: fullname: Knauth – volume: 18 start-page: 305 year: 2009 end-page: 311 ident: bib11 article-title: A case of occlusion due to acute in-stent thrombosis after carotid artery stenting publication-title: Jpn J Neurosurg (Tokyo) contributor: fullname: Takemoto – volume: 48 start-page: 37 year: 2002 end-page: 39 ident: bib3 article-title: Successful systemic thrombolysis for carotid stent thrombosis publication-title: Eur Neurol contributor: fullname: Pfefferkorn – volume: 31 start-page: 104 year: 2005 end-page: 110 ident: bib14 article-title: Thrombophilia in cancer publication-title: Semin Thromb Hemost contributor: fullname: Falanga – volume: 25 start-page: 1411 year: 2004 end-page: 1413 ident: bib5 article-title: Successful revascularization of acute carotid stent thrombosis by facilitated thrombolysis publication-title: AJNR Am J Neuroradiol contributor: fullname: Nasel – volume: 10 start-page: 870 year: 2003 end-page: 874 ident: bib4 article-title: Transient ischemic attack due to early carotid stent thrombosis: Successful rescue with rheolytic thrombectomy and systemic abciximab publication-title: J Endovasc Ther contributor: fullname: Lin – volume: 46 start-page: 495 year: 2006 end-page: 499 ident: bib8 article-title: Successful recanalization by in-stent percutaneous transluminal angioplasty with distal protection for acute carotid stent thrombosis publication-title: Neurol Med Chir (Tokyo) contributor: fullname: Matsuda – volume: 32 start-page: 427 year: 2010 end-page: 433 ident: bib13 article-title: Rescue stenting for subacute thrombosis after carotid stenting: Report of 2 cases publication-title: Jpn J Stroke contributor: fullname: Naito – volume: 21 start-page: 1750 year: 2000 end-page: 1752 ident: bib2 article-title: Abciximab rescue in acute carotid stent thrombosis publication-title: AJNR Am J Neuroradiol contributor: fullname: Joseph – volume: 49 start-page: 163 year: 2008 end-page: 166 ident: bib10 article-title: Rescue use of tirofiban for acute carotid in-stent thrombosis publication-title: Yonsei Med J contributor: fullname: Kim – volume: 32 start-page: 2700 year: 2001 end-page: 2702 ident: bib1 article-title: Carotid stent thrombosis: Report of 2 fatal cases publication-title: Stroke contributor: fullname: Tselis – volume: 51 start-page: 1232 year: 2008 end-page: 1233 ident: bib16 article-title: Subacute coronary stent thrombosis in cancer patients publication-title: J Am Coll Cardiol contributor: fullname: Geier – volume: 35 start-page: 1001 year: 2007 ident: 10.1016/j.jstrokecerebrovasdis.2012.12.015_bib9 article-title: Case of symptomatic subacute in-stent thrombosis after carotid angioplasty and stenting for severe carotid stenosis publication-title: No Shinkei Geka contributor: fullname: Kurisu – volume: 32 start-page: 427 year: 2010 ident: 10.1016/j.jstrokecerebrovasdis.2012.12.015_bib13 article-title: Rescue stenting for subacute thrombosis after carotid stenting: Report of 2 cases publication-title: Jpn J Stroke doi: 10.3995/jstroke.32.427 contributor: fullname: Naito – volume: 32 start-page: 2700 year: 2001 ident: 10.1016/j.jstrokecerebrovasdis.2012.12.015_bib1 article-title: Carotid stent thrombosis: Report of 2 fatal cases publication-title: Stroke doi: 10.1161/str.32.11.2700 contributor: fullname: Chaturvedi – volume: 48 start-page: 37 year: 2002 ident: 10.1016/j.jstrokecerebrovasdis.2012.12.015_bib3 article-title: Successful systemic thrombolysis for carotid stent thrombosis publication-title: Eur Neurol doi: 10.1159/000064956 contributor: fullname: Hamann – volume: 42 start-page: 993 year: 2005 ident: 10.1016/j.jstrokecerebrovasdis.2012.12.015_bib6 article-title: Surgical management of acute carotid thrombosis after carotid stenting: A report of three cases publication-title: J Vasc Surg doi: 10.1016/j.jvs.2005.06.031 contributor: fullname: Setacci – volume: 25 start-page: 1411 year: 2004 ident: 10.1016/j.jstrokecerebrovasdis.2012.12.015_bib5 article-title: Successful revascularization of acute carotid stent thrombosis by facilitated thrombolysis publication-title: AJNR Am J Neuroradiol contributor: fullname: Steiner-Boker – volume: 49 start-page: 163 year: 2008 ident: 10.1016/j.jstrokecerebrovasdis.2012.12.015_bib10 article-title: Rescue use of tirofiban for acute carotid in-stent thrombosis publication-title: Yonsei Med J doi: 10.3349/ymj.2008.49.1.163 contributor: fullname: Seo – volume: 18 start-page: 305 year: 2009 ident: 10.1016/j.jstrokecerebrovasdis.2012.12.015_bib11 article-title: A case of occlusion due to acute in-stent thrombosis after carotid artery stenting publication-title: Jpn J Neurosurg (Tokyo) doi: 10.7887/jcns.18.305 contributor: fullname: Takemoto – volume: 11 start-page: 110 year: 2010 ident: 10.1016/j.jstrokecerebrovasdis.2012.12.015_bib12 article-title: Acute carotid stent thrombosis: Review of the literature and long-term follow-up publication-title: Cardiovasc Revasc Med doi: 10.1016/j.carrev.2009.02.008 contributor: fullname: Iancu – volume: 31 start-page: 104 year: 2005 ident: 10.1016/j.jstrokecerebrovasdis.2012.12.015_bib14 article-title: Thrombophilia in cancer publication-title: Semin Thromb Hemost doi: 10.1055/s-2005-863812 contributor: fullname: Falanga – volume: 21 start-page: 1750 year: 2000 ident: 10.1016/j.jstrokecerebrovasdis.2012.12.015_bib2 article-title: Abciximab rescue in acute carotid stent thrombosis publication-title: AJNR Am J Neuroradiol contributor: fullname: Tong – volume: 10 start-page: 870 year: 2003 ident: 10.1016/j.jstrokecerebrovasdis.2012.12.015_bib4 article-title: Transient ischemic attack due to early carotid stent thrombosis: Successful rescue with rheolytic thrombectomy and systemic abciximab publication-title: J Endovasc Ther doi: 10.1177/152660280301000504 contributor: fullname: Bush – volume: 66 start-page: 1594 year: 2006 ident: 10.1016/j.jstrokecerebrovasdis.2012.12.015_bib7 article-title: Late in-stent thrombosis following carotid angioplasty and stenting publication-title: Neurology doi: 10.1212/01.wnl.0000216141.01262.77 contributor: fullname: Buhk – volume: 53 start-page: 149 year: 2010 ident: 10.1016/j.jstrokecerebrovasdis.2012.12.015_bib15 article-title: Managing coronary artery disease in the cancer patient publication-title: Prog Cardiovasc Dis doi: 10.1016/j.pcad.2010.06.004 contributor: fullname: Krone – volume: 46 start-page: 495 year: 2006 ident: 10.1016/j.jstrokecerebrovasdis.2012.12.015_bib8 article-title: Successful recanalization by in-stent percutaneous transluminal angioplasty with distal protection for acute carotid stent thrombosis publication-title: Neurol Med Chir (Tokyo) doi: 10.2176/nmc.46.495 contributor: fullname: Masuo – volume: 51 start-page: 1232 year: 2008 ident: 10.1016/j.jstrokecerebrovasdis.2012.12.015_bib16 article-title: Subacute coronary stent thrombosis in cancer patients publication-title: J Am Coll Cardiol doi: 10.1016/j.jacc.2007.11.061 contributor: fullname: Gross |
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| Snippet | In-stent thrombosis (IST) after carotid artery stenting (CAS) is a rare but potentially devastating complication. We present a case of early IST after CAS... |
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| SubjectTerms | Aged Cancer patient Carcinoma - complications Cardiovascular carotid artery stenting Carotid Stenosis - complications Carotid Stenosis - surgery Humans in-stent thrombosis Male Neurology Platelet Aggregation Inhibitors - therapeutic use Stents - adverse effects Thrombosis - etiology Urinary Bladder Neoplasms - complications |
| Title | In-stent Thrombosis after Carotid Artery Stenting Despite Sufficient Antiplatelet Therapy in a Bladder Cancer Patient |
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