Hyperacute in-Stent Thrombosis Causing Large Vessel Occlusion after Stent-Assisted Aneurysm Coiling Secondary to Complete Clopidogrel and Prasugrel Resistance: a Case Report

Abstract

Dual antiplatelet therapy (DAPT) is standard treatment for endoluminal stent insertion, and complete resistance to DAPT is rare. A case of in-stent thrombosis occurring 3 hours after stent-assisted coiling of internal carotid artery aneurysm is presented despite compliance with DAPT. Platelet function tests (PFTs) revealed complete clopidogrel and prasugrel resistance.

Keywords

antiplatelet therapy - large vessel occlusion - prasugrel resistance - clopidogrel resistance - platelet function testing - aneurysm stent

Author Contribution

All authors contributed significantly to the writing and editing of the manuscript.

Publikationsverlauf

Eingereicht: 06. Februar 2022

Angenommen: 13. Juni 2022

Accepted Manuscript online:
15. Juni 2022

Artikel online veröffentlicht:
05. Dezember 2022

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