Tirofiban Rescue in Acute Carotid Stent Thrombosis despite a Standard Antiplatelet Regimen

Articles > Article · 2005

Authors: İsmail ORAN, H. Altay, M. Parildar

Rivista di Neuroradiologia, International, WoS, 2005, vol 18, pp 371-375

DOI: 10.1177/197140090501800314

Summary

Fifty minutes following implantation of a right internal carotid artery stent, left lower extremity paresis developed in a patient despite use of heparin, clopidogrel and aspirin. Immediate angiograms revealed partially thrombosed carotid stent, then tirofiban (a glycoprotein IIb-IIIa receptor inhibitor) was administered intraarterially into the stent. After 15 minutes, complete resolution of the thrombus was detected on repeat angiography. The patient had recovered completely at 30-day follow-up.

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