Article Text
Hemorrhagic stroke
Novel use of prasugrel for intracranial stent thrombosis
Abstract
Dual antiplatelet therapy is established for prevention of stent thrombosis in cardiac patients, and widely utilized in neurointerventional stent cases. Aspirin and clopidogrel are typically synergistic. We present a case of clopidogrel resistance due to genetic polymorphism resulting in acute stent thrombosis during elective stent-assisted coiling, with novel use of prasugrel as an alternative platelet inhibitor in the neurovascular setting.
- Aneurysm
- artery
- coiling
- complication
- prasugrel
- stent
- thrombosis
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Footnotes
Competing interests None to declare.
Provenance and peer review Not commissioned; externally peer reviewed.