In-Stent Thrombosis in the Middle Cerebral Artery (MCA): A Case Report
Journal: Austin Journal of Clinical Neurology (Vol.1, No. 3)Publication Date: 2014-06-14
Authors : Xian-jun Zhang; Hong Li; Yong Zhang; Zongchao Liu; Hai-feng Li;
Page : 1-3
Keywords : Middle cerebral artery; Intracranial Stenosis; Angioplasty; In-stent thrombosis;
Abstract
In-Stent Thrombosis (IST) is a complication of angioplasty and stenting, especially in the vessels with smaller diameter. We present a case of sub acute IST after stenting treatment of isolated higher stenos is of the right Middle Cerebral Artery (MCA). Analysis of clinical features and emergent brain image helped to indicate the pathophysiological mechanism underlining the symptoms of this patient. Emergent Transcranial Doppler (TCD) helped to evaluate the compensatory collateral circulation and provided good supporting evidence in deducing the mechanism of IST. Slightly larger size of the implanted stent that caused dissection or vascular endothelium injury was presumed in this patient. Persistent evidence of inflammatory factors might also contribute to IST in this patient.
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