Abstract
Purpose: To describe a case of early superficial femoral artery (SFA) thrombosis after stenting in an aspirin low-responsive patient successfully treated with percutaneous mechanical thrombectomy. Clinical and interventional summary: Early SFA stent thrombosis occurred in a 65-year-old man treated with multiple stent implantation for chronic total occlusion of the left SFA. The potential cause for thrombosis was a suboptimal PTA [percutaneous transluminal angioplasty] result characterized by no-flow limiting residual linear dissection left untreated and which was associated with low responsiveness to aspirin. Rapid thrombus removal and flow restoration were obtained with the Angiojet Ultra Thrombectomy System (Medrad, Warrendale, PA, USA). Conclusions: Treatment of SFA stent thrombosis should be undertaken with the understanding of the underlying thrombotic causes and the knowledge of the most appropriate therapeutic options. A percutaneous mechanical strategy with the Angiojet Ultra Thrombectomy System may achieve rapid and complete recanalization even in the presence of huge thrombotic burden..
| Original language | English |
|---|---|
| Pages (from-to) | 196-199 |
| Number of pages | 4 |
| Journal | Journal of Cardiology Cases |
| Volume | 9 |
| Issue number | 5 |
| DOIs | |
| Publication status | Published - 2014 |
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Keywords
- Aspirin resistance
- Femoral stenting
- Limb ischemia
- Thrombosis
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
Cite this
Early stent thrombosis after superficial femoral artery stenting successfully treated with transcatheter rheolytic thrombectomy in a patient with reduced aspirin responsiveness. / Trabattoni, Daniela; Fabbiocchi, Franco; Camera, Marina; Bartorelli, Antonio L.
In: Journal of Cardiology Cases, Vol. 9, No. 5, 2014, p. 196-199.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Early stent thrombosis after superficial femoral artery stenting successfully treated with transcatheter rheolytic thrombectomy in a patient with reduced aspirin responsiveness
AU - Trabattoni, Daniela
AU - Fabbiocchi, Franco
AU - Camera, Marina
AU - Bartorelli, Antonio L.
PY - 2014
Y1 - 2014
N2 - Purpose: To describe a case of early superficial femoral artery (SFA) thrombosis after stenting in an aspirin low-responsive patient successfully treated with percutaneous mechanical thrombectomy. Clinical and interventional summary: Early SFA stent thrombosis occurred in a 65-year-old man treated with multiple stent implantation for chronic total occlusion of the left SFA. The potential cause for thrombosis was a suboptimal PTA [percutaneous transluminal angioplasty] result characterized by no-flow limiting residual linear dissection left untreated and which was associated with low responsiveness to aspirin. Rapid thrombus removal and flow restoration were obtained with the Angiojet Ultra Thrombectomy System (Medrad, Warrendale, PA, USA). Conclusions: Treatment of SFA stent thrombosis should be undertaken with the understanding of the underlying thrombotic causes and the knowledge of the most appropriate therapeutic options. A percutaneous mechanical strategy with the Angiojet Ultra Thrombectomy System may achieve rapid and complete recanalization even in the presence of huge thrombotic burden..
AB - Purpose: To describe a case of early superficial femoral artery (SFA) thrombosis after stenting in an aspirin low-responsive patient successfully treated with percutaneous mechanical thrombectomy. Clinical and interventional summary: Early SFA stent thrombosis occurred in a 65-year-old man treated with multiple stent implantation for chronic total occlusion of the left SFA. The potential cause for thrombosis was a suboptimal PTA [percutaneous transluminal angioplasty] result characterized by no-flow limiting residual linear dissection left untreated and which was associated with low responsiveness to aspirin. Rapid thrombus removal and flow restoration were obtained with the Angiojet Ultra Thrombectomy System (Medrad, Warrendale, PA, USA). Conclusions: Treatment of SFA stent thrombosis should be undertaken with the understanding of the underlying thrombotic causes and the knowledge of the most appropriate therapeutic options. A percutaneous mechanical strategy with the Angiojet Ultra Thrombectomy System may achieve rapid and complete recanalization even in the presence of huge thrombotic burden..
KW - Aspirin resistance
KW - Femoral stenting
KW - Limb ischemia
KW - Thrombosis
UR - http://www.scopus.com/inward/record.url?scp=84899966472&partnerID=8YFLogxK
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U2 - 10.1016/j.jccase.2014.01.009
DO - 10.1016/j.jccase.2014.01.009
M3 - Article
AN - SCOPUS:84899966472
VL - 9
SP - 196
EP - 199
JO - Journal of Cardiology Cases
JF - Journal of Cardiology Cases
SN - 1878-5409
IS - 5
ER -