Endovascular management of symptomatic carotid artery stenosis in a patient with thrombocytopenia

Woo Keun Seo, Seong Beom Koh, Chul Won Choi, Hye Young Seol

Research output: Contribution to journalArticle

Abstract

Background Various medical comorbidities such as thrombocytopenia can be obstacles for managing patients with carotid artery disease. Patient We describe our experience with urgent carotid artery stenting for symptomatic carotid artery stenosis in a patient with severe thrombocytopenia. During the treatment, several issues such as mechanism of infarction in carotid artery stenosis, timing of endovascular intervention, and decision making for intervention in patients with thrombocytopenia were discussed. Although the patient experienced complications after carotid artery stenting, he recovered with only mild sequelae. Results and Conclusion Timely decision is required and individualized treatment strategies should be considered to achieve good results under the given conditions.

Original languageEnglish
JournalJournal of Neurological Surgery, Part A: Central European Neurosurgery
Volume74
Issue numberSUPPL.1
DOIs
Publication statusPublished - 2013 Dec 1

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Carotid Stenosis
Thrombocytopenia
Carotid Arteries
Carotid Artery Diseases
Infarction
Comorbidity
Decision Making
Therapeutics

Keywords

  • cerebral ischemia
  • endovascular stent
  • endovascular treatment
  • stroke

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

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abstract = "Background Various medical comorbidities such as thrombocytopenia can be obstacles for managing patients with carotid artery disease. Patient We describe our experience with urgent carotid artery stenting for symptomatic carotid artery stenosis in a patient with severe thrombocytopenia. During the treatment, several issues such as mechanism of infarction in carotid artery stenosis, timing of endovascular intervention, and decision making for intervention in patients with thrombocytopenia were discussed. Although the patient experienced complications after carotid artery stenting, he recovered with only mild sequelae. Results and Conclusion Timely decision is required and individualized treatment strategies should be considered to achieve good results under the given conditions.",
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AU - Seo, Woo Keun

AU - Koh, Seong Beom

AU - Choi, Chul Won

AU - Seol, Hye Young

PY - 2013/12/1

Y1 - 2013/12/1

N2 - Background Various medical comorbidities such as thrombocytopenia can be obstacles for managing patients with carotid artery disease. Patient We describe our experience with urgent carotid artery stenting for symptomatic carotid artery stenosis in a patient with severe thrombocytopenia. During the treatment, several issues such as mechanism of infarction in carotid artery stenosis, timing of endovascular intervention, and decision making for intervention in patients with thrombocytopenia were discussed. Although the patient experienced complications after carotid artery stenting, he recovered with only mild sequelae. Results and Conclusion Timely decision is required and individualized treatment strategies should be considered to achieve good results under the given conditions.

AB - Background Various medical comorbidities such as thrombocytopenia can be obstacles for managing patients with carotid artery disease. Patient We describe our experience with urgent carotid artery stenting for symptomatic carotid artery stenosis in a patient with severe thrombocytopenia. During the treatment, several issues such as mechanism of infarction in carotid artery stenosis, timing of endovascular intervention, and decision making for intervention in patients with thrombocytopenia were discussed. Although the patient experienced complications after carotid artery stenting, he recovered with only mild sequelae. Results and Conclusion Timely decision is required and individualized treatment strategies should be considered to achieve good results under the given conditions.

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KW - endovascular stent

KW - endovascular treatment

KW - stroke

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