AJDRAJNR - American Journal of Neuroradiology

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Successful Revascularization of Acute Carotid Stent Thrombosis by Facilitated Thrombolysis

Sabine Steiner-Bökera, Manfred Cejnaa,b, Christian Naselb, Erich Minara and Christoph W. Koppa

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



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FIG 1. Resolution of acute carotid stent thrombosis by combined administration of rtPA and abciximab.

A, Digital subtraction angiogram obtained before intervention. Arrow indicates 85% stenosis of the right proximal ICA.

B, Small arrows indicate thrombus formation within the proximal stented segment and total thrombotic occlusion of the distal stented segment. Filter WilterEx protection device in situ in the distal ICA (arrowhead).

C, Restoration of blood flow with moderate residual vasospasm distal of the stented segment after successful combined thrombolysis.