Angioplasty of symptomatic high-grade internal carotid artery stenosis with intraluminal thrombus: therapeutic approach.
Intraluminal thrombus in the internal carotid artery (ICA) is usually found in patients with severe atheromatous stenosis. Having reviewed 300 carotid angioplasties for symptomatic >70% ICA stenosis, we found three patients (1%) with intraluminal thrombus. Conservative treatment with anticoagulants and double antiplatelet coverage can result in lysis of the thrombus without severe risks. Percutaneous transluminal angioplasty and stenting, preferably with distal protection, can be an excellent alternative to carotid endarterectomy.
González
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Sección de Neurorradiología Intervencionista, Servicio de Radiología, Hospital Universitario Virgen del Rocío, Avenida Manuel Siurot s/n, Avenida Manuel Siurot s/n, 41013 Sevilla, Spain. jandroglez@terra.es
Mayol
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Gil-Peralta
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González-Marcos
J R
JR
Boza
F
F
Ruano
J
J
D000368:Aged; D000800:Angioplasty, Balloon / Q000379:methods*; D000925:Anticoagulants / Q000627:therapeutic use; D002341:Carotid Artery Thrombosis / Q000209:etiology / Q000601:surgery*; D016893:Carotid Stenosis / Q000150:complications / Q000601:surgery*; D002533:Cerebral Angiography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome
D000925:Anticoagulants