Floating carotid thrombus treated by intravenous heparin and endarterectomy

被引：15

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

[11] Recanalization of acute symptomatic occlusions of the internal carotid artery [J].

Meves, SH ;

Muhs, A ;

Federlein, J ;

Büttner, T ;

Przuntek, H ;

Postert, T .

JOURNAL OF NEUROLOGY, 2002, 249 (02) :188-192

[12] Comparison of dual-source CT angiography and MR angiography in preoperative evaluation of intra- and extracranial vessels: a pilot study [J].

Muehlenbruch, Georg ;

Das, Marco ;

Mommertz, Gottfried ;

Schaaf, Meike ;

Langer, Stefan ;

Mahnken, Andreas Horst ;

Wildberger, Joachim Ernst ;

Thron, A. ;

Guenther, Rolf W. ;

Krings, Timo .

EUROPEAN RADIOLOGY, 2010, 20 (02) :469-476

[13] Endarterectomy for symptomatic carotid stenosis in relation to clinical subgroups and timing of surgery [J].

Rothwell, PM ;

Eliasziw, M ;

Gutnikov, SA ;

Warlow, CP ;

Barnett, HJM .

LANCET, 2004, 363 (9413) :915-924

[14] Intravenous unfractionated heparin in patients with acute ischemic stroke: A treatment to be used in the context of randomized trials only [J].

Sandercock, P .

STROKE, 2001, 32 (02) :579-579

[15] Intravenous heparin for acute stroke - What can we learn from the megatrials? [J].

Swanson, RA .

NEUROLOGY, 1999, 52 (09) :1746-1750

[16] Early spontaneous recanalization following acute carotid occlusion [J].

Szabo, Kristina ;

Kern, Rolf ;

Gass, Achim ;

Griebe, Martin ;

Lanczik, Oliver ;

Daffertshofer, Michael ;

Hennerici, Michael G. .

JOURNAL OF NEUROIMAGING, 2008, 18 (02) :148-153

[17] Symptomatic acute occlusion of the internal carotid artery:: Reappraisal of urgent vascular reconstruction based on current stroke imaging [J].

Weis-Mueller, Barbara Theresia ;

Huber, Rita ;

Spivak-Dats, Asya ;

Turowski, Bernd ;

Siebler, Mario ;

Sandmann, Wilhelm .

JOURNAL OF VASCULAR SURGERY, 2008, 47 (04) :752-759

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