혈관 내강 혈전이 동반된 증상성 경동맥 협착증의 지연 스탠트 삽입술: 2예 보고
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Intraluminal thrombosis in patients with carotid stenosis is rare and its treatment remains controversial. We have experienced two patients with symptomatic severe carotid stenosis combined with intraluminal thrombi. We treated them initially with warfarin, aspirin/clopidogrel, and statin for 6 and 8 weeks. During the period of medical treatment, there was no clinical or radiological recurrence. Follow-up cerebral angiography showed resolution of the intraluminal thrombus. Carotid stenting with angioplasty was performed under distal protection device subsequently. Diffusion weighted magnetic resonance (MR) image obtained the fol-lowing day did not show any new embolic lesions. Our cases indicate another example that delayed carotid stenting and an-gioplasty after a medical treatment including antiplatelet agent, anticoagulant and statin may be a safe and effective treatment. (Korean Journal of Stroke 2007;9:79-82)
Abstract
Intraluminal thrombosis in patients with carotid stenosis is rare and its treatment remains controversial. We have experienced two patients with symptomatic severe carotid stenosis combined with intraluminal thrombi. We treated them initially with warfarin, aspirin/clopidogrel, and statin for 6 and 8 weeks. During the period of medical treatment, there was no clinical or radiological recurrence. Follow-up cerebral angiography showed resolution of the intraluminal thrombus. Carotid stenting with angioplasty was performed under distal protection device subsequently. Diffusion weighted magnetic resonance (MR) image obtained the fol-lowing day did not show any new embolic lesions. Our cases indicate another example that delayed carotid stenting and an-gioplasty after a medical treatment including antiplatelet agent, anticoagulant and statin may be a safe and effective treatment. (Korean Journal of Stroke 2007;9:79-82)