Saal-zapata g, durand w, ghodke bv, walker m.Endovascular strategies for stroke management after subacute in-stent thrombosis. journal of clinical neuroscience.2020;81:18-20.Doi.Org/10.1016/j.Jocn.2020.09.020.Medtronic received a literature article pertaining to patient's with subacute in-stent thrombosis, a rare but potentially fatal condition that can occur after treatment for intracranial aneurysms or stenosis.A male patient with past medical history of migraine presented with subarachnoid hemorrhage resulting from a ruptured left supraclinoid ica blister-type aneurysm.Two telescoping pipeline devices were used as treatment.Eight days post-embolization the patient developed acute right hemiparesis and underwent dsa for evaluation of vasospasm.Instead of vasospasm, non-occlusive intramuralthrombus was found.The patient was placed on heparin drip and returned to the icu, but 12 hours later developed recurrent symptoms.A cta scan revealed an occluded left ica and ct perfusion showed a large ischemic penumbra.As a result mechanical thrombectomy was performed.Upon treatment using thrombectomy the patient recovered fully.
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