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AJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology 25:1411-1413, September 2004
© 2004 American Society of Neuroradiology

Case Report
INTERVENTIONAL

Successful Revascularization of Acute Carotid Stent Thrombosis by Facilitated Thrombolysis

Sabine Steiner-Böker^a, Manfred Cejna^a,b, Christian Nasel^b, Erich Minar^a and Christoph W. Kopp^a

^a Second Department of Medicine, University of Vienna Medical School, Vienna, Austria
^b the Department of Radiology, University of Vienna Medical School, Vienna, Austria

Address correspondence to Christoph W. Kopp, MD, Second Department of Medicine, Division of Angiology, University of Vienna Medical School, Waehringer Guertel 18–20, 1090 Vienna, Austria

Summary: A 64-year-old woman undergoing protected carotid artery stent placement developed acute stent thrombosis despite pretreatment with combined antiplatelet therapy. A reduced dose of recombinant tissue plasminogen activator and a half-dose bolus of abciximab were administered intra-arterially via superselective catherization followed by systemic intravenous infusion of abciximab for 12 hours. Control angiography showed complete restoration of blood flow paralleled by neurologic improvement.