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Idiopathic thrombus in the common carotid artery on digital subtraction angiography

Anand Alurkar1, Lakshmi Sudha Prasanna Karanam, Suresh Nayak

  • 1Department of Neurointervention, King Edward Memorial Hospital, Pune - 411 011, India.

Journal of Clinical Imaging Science
|May 23, 2012
PubMed

Insights

Digital subtraction angiography (DSA) accurately diagnoses common carotid artery thrombus. Successful anticoagulation treatment is possible for these stroke patients, requiring a multidisciplinary approach.

Area of Science:

  • Vascular Surgery
  • Neurology
  • Diagnostic Imaging

Background:

  • Cerebrovascular events, including stroke, pose significant health challenges.
  • Accurate diagnosis of common carotid artery (CCA) thrombus is crucial for effective patient management.
  • Digital subtraction angiography (DSA) is a key imaging modality in evaluating cerebrovascular conditions.

Observation:

  • Four patients (26-48 years old) presented with stroke symptoms between 2006 and 2011.
  • DSA revealed characteristic cigar-shaped filling defects in the CCA of all patients.
  • Duplex scans were utilized for follow-up assessment.

Findings:

  • DSA demonstrated high accuracy in diagnosing free-floating thrombus within the common carotid artery.
  • Anticoagulation therapy proved effective in managing the identified CCA thrombi.
  • The study highlights DSA as the gold standard for detecting free-floating thrombus in the CCA.

Implications:

  • Early and accurate diagnosis via DSA facilitates timely and effective medical intervention.
  • Successful management of CCA thrombus with anticoagulation is achievable.
  • A multidisciplinary team approach is essential for optimizing patient outcomes in managing CCA thrombus and preventing stroke.

Keywords:
CCAidiopathic thrombusstroke

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