The sticky platelet syndrome during carotid endarterectomy

Ann Vasc Surg. 2015 Aug;29(6):1317.e9-1317.e11. doi: 10.1016/j.avsg.2015.02.022. Epub 2015 May 30.

Abstract

The sticky platelet syndrome is a congenital disorder, characterized by abnormal platelet aggregation in response to epinephrine and/or adenosine phosphate. We present a case of intraoperative carotid artery thrombosis, after patch angioplasty. The successful repair was only feasible on administration of antiplatelet therapy. Presence of sticky platelet syndrome should be considered during vascular operative interventions, and load of antiplatelet agents should be given in patients with unexplained repeated thrombosis of arterial repair, as we described and reported this case.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Blood Platelet Disorders / blood
  • Blood Platelet Disorders / complications*
  • Blood Platelet Disorders / diagnosis
  • Blood Platelet Disorders / drug therapy
  • Carotid Stenosis / blood
  • Carotid Stenosis / complications
  • Carotid Stenosis / diagnosis
  • Carotid Stenosis / surgery*
  • Endarterectomy, Carotid / adverse effects*
  • Humans
  • Intraoperative Care
  • Male
  • Platelet Aggregation Inhibitors / administration & dosage
  • Platelet Function Tests
  • Recurrence
  • Risk Factors
  • Thrombectomy
  • Thrombosis / blood
  • Thrombosis / diagnosis
  • Thrombosis / etiology*
  • Thrombosis / therapy
  • Treatment Outcome
  • Ultrasonography, Doppler, Duplex

Substances

  • Platelet Aggregation Inhibitors