Complete recovery of acute carotid artery in-stent occlusion with surgery: the advantage of hybrid operating room

Abstract

Acute occlusion is a rare complication of carotid stent implantation. A 74-year-old female patient became unconscious presenting with impaired neurological status and dysarthria within the first hour of carotid artery stent implantation. The patient underwent emergent surgery with the diagnosis of acute stent occlusion in Doppler ultrasonography and angiography. Occluded stent was removed and carotid endarterectomy surgery was performed. The patient was extubated without any complication in the postoperative third hour and discharged after a four-day uneventful hospital stay.