Document Detail

Floating carotid thrombus treated by intravenous heparin and endarterectomy.
MedLine Citation:
PMID:  20934839     Owner:  NLM     Status:  MEDLINE    
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 endarterectomy 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.
Fabrizio Sallustio; Silvia Di Legge; Simone Marziali; Arnaldo Ippoliti; Paolo Stanzione
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of vascular surgery     Volume:  53     ISSN:  1097-6809     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-01-31     Completed Date:  2011-03-10     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  489-91     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.
Stroke Unit, Department of Neuroscience, University of Tor Vergata, Rome, Italy.
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MeSH Terms
Administration, Oral
Anticoagulants / administration & dosage*
Brain Ischemia / diagnosis,  drug therapy,  etiology,  surgery,  therapy*
Carotid Stenosis / complications,  diagnosis,  drug therapy,  surgery,  therapy*
Combined Modality Therapy
Endarterectomy, Carotid*
Heparin / administration & dosage*
Infusions, Intravenous
Stroke / diagnosis,  drug therapy,  etiology,  surgery,  therapy*
Thromboembolism / diagnosis,  drug therapy,  etiology,  surgery,  therapy*
Thrombosis / complications,  diagnosis,  drug therapy,  surgery,  therapy*
Tomography, X-Ray Computed
Treatment Outcome
Reg. No./Substance:
0/Anticoagulants; 9005-49-6/Heparin

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