Carotid endarterectomy in patients with internal carotid artery thrombosis in the acutest period of ischemic stroke with COVID-19

2021 ◽  
Vol 121 (10) ◽  
pp. 25
Author(s):  
A.N. Kazantsev ◽  
K.P. Chernykh ◽  
S.V. Artyukhov ◽  
G.Sh. Bagdavadze ◽  
M.O. Dzhanelidze ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Carotid Endarterectomy ◽  
Internal Carotid ◽  
Carotid Artery Thrombosis ◽  
Artery Thrombosis

scholarly journals Extensive Mobile Thrombus of the Internal Carotid Discovered After Intravenous Thrombolysis

2016 ◽  
Vol 7 (2) ◽  
pp. 96-99 ◽  
Author(s):  
Eugene L. Scharf ◽  
Jennifer E. Fugate ◽  
Sara E. Hocker
Keyword(s):  
Ischemic Stroke ◽  
Carotid Artery ◽  
Clinical Outcome ◽  
Internal Carotid Artery ◽  
Carotid Endarterectomy ◽  
Internal Carotid ◽  
Intravenous Thrombolysis ◽  
Rare Presentation ◽  
Favorable Clinical Outcome ◽  
Hemodynamic Augmentation

This case report describes a rare presentation of ischemic stroke secondary to an extensive internal carotid artery thrombus, subsequent therapeutic dilemma, and clinical management. A 58-year-old man was administered intravenous (IV) thrombolysis for right middle cerebral artery territory ischemic stroke symptoms. A computed tomography angiogram of the head and neck following thrombolysis showed a longitudinally extensive internal carotid artery thrombus originating at the region of high-grade calcific stenosis. Mechanical embolectomy was deferred because of risk of clot dislodgement and mild neurological symptoms. Recumbency and hemodynamic augmentation were used acutely to support cerebral perfusion. Anticoagulation was started 24 hours after thrombolysis. Carotid endarterectomy was completed successfully within 1 week of presentation. Clinical outcome was satisfactory with discharge modified Rankin Scale score 0. A longitudinally extensive carotid artery thrombus poses a risk of dislodgement and hemispheric stroke. Optimal management in these cases is not known with certainty. In our case, IV thrombolysis, hemodynamic augmentation, delayed anticoagulation, and carotid endarterectomy resulted in a favorable clinical outcome.

INTERNAL CAROTID ARTERY THROMBOSIS FOLLOWING SOFT PALATE INJURIES

1984 ◽  
Vol 94 (12) ◽  
pp. 1571???1575 ◽  
Author(s):  
ARTHUR S. HENGERER ◽  
TERRY R. DEGROOT ◽  
ROBERT J. RIVERS ◽  
DANIEL S. PETTEE
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Soft Palate ◽  
Internal Carotid ◽  
Carotid Artery Thrombosis ◽  
Artery Thrombosis
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