Carotid Artery Stenting for Acute Ischemic Stroke Patients after Intravenous Recombinant Tissue Plasminogen Activator Treatment

We herein report three ischemic stroke patients who underwent emergency carotid artery stenting after receiving intravenous tissue plasminogen activator (t-PA) treatment. All patients received antiplatelet medications immediately before stent placement for loading as well as dual antiplatelet therap...

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Autores principales: Deguchi, Ichiro, Hayashi, Takeshi, Neki, Hiroaki, Yamane, Fumitaka, Ishihara, Shoichiro, Tanahashi, Norio, Takao, Masaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2016
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5088551/
https://www.ncbi.nlm.nih.gov/pubmed/27725550
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author Deguchi, Ichiro
Hayashi, Takeshi
Neki, Hiroaki
Yamane, Fumitaka
Ishihara, Shoichiro
Tanahashi, Norio
Takao, Masaki
author_facet Deguchi, Ichiro
Hayashi, Takeshi
Neki, Hiroaki
Yamane, Fumitaka
Ishihara, Shoichiro
Tanahashi, Norio
Takao, Masaki
author_sort Deguchi, Ichiro
collection PubMed
description We herein report three ischemic stroke patients who underwent emergency carotid artery stenting after receiving intravenous tissue plasminogen activator (t-PA) treatment. All patients received antiplatelet medications immediately before stent placement for loading as well as dual antiplatelet therapy after stenting. Under high-dose and dual antiplatelet therapy, none of the three patients showed symptomatic intracranial hemorrhaging. However, one case showed reocclusion of the placed stent after acute thrombosis. As a result, new treatment strategies for the use of antiplatelet agents during emergency stent placement must be developed, particularly for patients who have received intravenous t-PA therapy.
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spelling pubmed-50885512016-11-07 Carotid Artery Stenting for Acute Ischemic Stroke Patients after Intravenous Recombinant Tissue Plasminogen Activator Treatment Deguchi, Ichiro Hayashi, Takeshi Neki, Hiroaki Yamane, Fumitaka Ishihara, Shoichiro Tanahashi, Norio Takao, Masaki Intern Med Case Report We herein report three ischemic stroke patients who underwent emergency carotid artery stenting after receiving intravenous tissue plasminogen activator (t-PA) treatment. All patients received antiplatelet medications immediately before stent placement for loading as well as dual antiplatelet therapy after stenting. Under high-dose and dual antiplatelet therapy, none of the three patients showed symptomatic intracranial hemorrhaging. However, one case showed reocclusion of the placed stent after acute thrombosis. As a result, new treatment strategies for the use of antiplatelet agents during emergency stent placement must be developed, particularly for patients who have received intravenous t-PA therapy. The Japanese Society of Internal Medicine 2016-10-01 /pmc/articles/PMC5088551/ /pubmed/27725550 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Deguchi, Ichiro
Hayashi, Takeshi
Neki, Hiroaki
Yamane, Fumitaka
Ishihara, Shoichiro
Tanahashi, Norio
Takao, Masaki
Carotid Artery Stenting for Acute Ischemic Stroke Patients after Intravenous Recombinant Tissue Plasminogen Activator Treatment
title Carotid Artery Stenting for Acute Ischemic Stroke Patients after Intravenous Recombinant Tissue Plasminogen Activator Treatment
title_full Carotid Artery Stenting for Acute Ischemic Stroke Patients after Intravenous Recombinant Tissue Plasminogen Activator Treatment
title_fullStr Carotid Artery Stenting for Acute Ischemic Stroke Patients after Intravenous Recombinant Tissue Plasminogen Activator Treatment
title_full_unstemmed Carotid Artery Stenting for Acute Ischemic Stroke Patients after Intravenous Recombinant Tissue Plasminogen Activator Treatment
title_short Carotid Artery Stenting for Acute Ischemic Stroke Patients after Intravenous Recombinant Tissue Plasminogen Activator Treatment
title_sort carotid artery stenting for acute ischemic stroke patients after intravenous recombinant tissue plasminogen activator treatment
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5088551/
https://www.ncbi.nlm.nih.gov/pubmed/27725550
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