Floating carotid thrombus treated by intravenous heparin and endarterectomy

被引：14

作者：

Sallustio, Fabrizio ^{[1
]}

Di Legge, Silvia ^{[1
]}

Marziali, Simone ^{[2
]}

Ippoliti, Arnaldo ^{[3
]}

Stanzione, Paolo ^{[1
]}

机构：

[1] Univ Roma Tor Vergata, Dept Neurosci, Stroke Unit, I-00133 Rome, Italy

[2] Univ Roma Tor Vergata, Dept Diagnost Imaging & Intervent Radiol, I-00133 Rome, Italy

[3] Univ Roma Tor Vergata, Dept Vasc Surg, I-00133 Rome, Italy

来源：

JOURNAL OF VASCULAR SURGERY | 2011年 / 53卷 / 02期

关键词：

AMERICAN-STROKE-ASSOCIATION; ACUTE ISCHEMIC STROKE; SPONTANEOUS RECANALIZATION; UNFRACTIONATED HEPARIN; ARTERY; OCCLUSIONS; MECHANISM;

D O I：

10.1016/j.jvs.2010.08.014

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Among different subtypes of ischemic stroke, atherosclerotic stroke carries the greatest risk (30%) of worsening and recurrence during the acute phase of hospitalization with a 7.9% risk <= 30 days. Causes of this high risk include plaque rupture leading to thrombus formation, thrombus propagation with consequent vessel occlusion, and distal embolism. In this context, emergent endartereetomy or anticoagulation, followed by deferred endarterectomy, are both controversial. We report a patient with an ischemic stroke caused by thromboembolism from an ulcerated plaque with floating thrombus of the internal carotid artery (ICA). A controversial use of heparin is discussed. (J Vase Surg 2011;53:489-91.)

引用

页码：489 / 491

页数：3

共 17 条

[1] Guidelines for the early management of patients with ischemic stroke - A scientific statement from the Stroke Council of the American Stroke Association
Adams, HP
Adams, RJ
Brott, T
del Zoppo, GJ
Furlan, A
Goldstein, LB
Grubb, RL
Higashida, R
Kidwell, C
Kwiatkowski, TG
Marler, JR
Hademenos, GJ
[J]. STROKE, 2003, 34 (04) : 1056 - 1083
[2] Spontaneous recanalization of the internal carotid artery resulting in thromboembolic occlusion of the ipsilateral ophthalmic artery and visual loss
Binning, M. J.
Jackson, G.
Couldwell, W. T.
[J]. JOURNAL OF CLINICAL NEUROSCIENCE, 2009, 16 (09) : 1244 - 1246
[3] Resolved: Heparin may be useful in selected patients with brain ischemia
Caplan, LR
[J]. STROKE, 2003, 34 (01) : 230 - 231
[4] Combe J, 1990, Ann Vasc Surg, V4, P558, DOI 10.1016/S0890-5096(06)60839-X
[5] Anticoagulants and antiplatelet agents in acute ischemic stroke - Report of the Joint Stroke Guideline Development Committee of the American Academy of Neurology and the American Stroke Association (a division of the American Heart Association)
Coull, BM
Williams, LS
Goldstein, LB
Meschia, JF
Heitzman, D
Chaturvedi, S
Johnston, KC
Starkman, S
Morgenstern, LB
Wilterdink, JL
Levine, SR
Saver, JL
[J]. STROKE, 2002, 33 (07) : 1934 - 1942
[6] Spontaneous recanalization of arterial occlusions: An unusual mechanism for symptomatic improvement
Gargiulo, NJ
Veith, FJ
Lipsitz, EC
Ohki, T
Suggs, WD
Cayne, NS
Dadian, N
Wain, RA
[J]. JOURNAL OF VASCULAR SURGERY, 2002, 36 (06) : 1161 - 1165
[7] GUBITZ G, 2000, COCHRANE DB SYST REV, V2
[8] Hill SL, 2005, AM SURGEON, V71, P853
[9] Mechanism of action and pharmacology of unfractionated heparin
Hirsh, J
Anand, SS
Halperin, JL
Fuster, V
[J]. ARTERIOSCLEROSIS THROMBOSIS AND VASCULAR BIOLOGY, 2001, 21 (07) : 1094 - 1096
[10] Diagnostic accuracy of contrast-enhanced MR angiography in severe carotid stenosis: meta-analysis with metaregression of different techniques
Menke, Jan
[J]. EUROPEAN RADIOLOGY, 2009, 19 (09) : 2204 - 2216

← 1 2 →