Letter to the Editor
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Mar 6, 2023; 11(7): 1666-1668
Published online Mar 6, 2023. doi: 10.12998/wjcc.v11.i7.1666
Commentary on a case report and literature review of acute carotid stent thrombosis
Matthew Willman, Brandon Lucke-Wold
Matthew Willman, College of Medicine, University of Florida, Gainesville, FL 32610, United States
Brandon Lucke-Wold, Department of Neurosurgery, University of Florida, Gainesville, Florida 32608, United States
Author contributions: Willman M and Lucke-Wold B contributed to the conception and critical revision of the article; Willman M drafted the article.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Matthew Willman, BSc, College of Medicine, University of Florida, 1600 SW Archer Rd, Gainesville, FL 32610, United States. matthewwillman@ufl.edu
Received: November 4, 2022
Peer-review started: November 4, 2022
First decision: December 26, 2022
Revised: January 4, 2023
Accepted: February 15, 2023
Article in press: February 15, 2023
Published online: March 6, 2023
Abstract

In this commentary on the article entitled “Acute carotid stent thrombosis: A case report and literature review”, the key points of the article are discussed. Acute carotid stent thrombosis (ACST) in the setting of carotid artery stenting (CAS) represents a rare but potentially catastrophic event. There is a wide range of treatment options available, including carotid endarterectomy, which is generally recommended for cases of refractory ACST. While there is no standard treatment regimen, dual antiplatelet therapy is typically recommended both before and after CAS to reduce risk of ACST.

Keywords: Acute carotid stent thrombosis, Carotid artery stenting, Carotid endarterectomy

Core Tip: This commentary evaluates the article entitled “Acute carotid stent thrombosis: A case report and literature review”, discussing acute carotid stent thrombosis and the current treatment options available. Specifically, carotid endarterectomy is evaluated as a treatment option for refractory stent thrombosis. Additionally, dual antiplatelet therapy, stent material, and stent architectural design are addressed in the commentary.