Extensive mobile thrombus of the internal carotid artery: a case report, treatment options, and a review of the literature.
The presence of a carotid stenosis, a floating thrombus, and a patient with clinical and CT evidence of a stroke represents a significant therapeutic dilemma to the clinician. The evidence of a stroke precludes any active treatment of the carotid stenosis safely, while the floating thrombus demands immediate attention. We recently were involved with just such a patient and chose a conservative approach of anticoagulation followed by operative intervention several weeks later.
Department of Surgery Carilion Medical System, Roanoke, Virginia, USA.
Stephen L
SL
Hill
Witold
W
Brozyna
D000925:Anticoagulants / Q000627:therapeutic use; D002341:Carotid Artery Thrombosis / Q000150:complications / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000628:therapy*; D002343:Carotid Artery, Internal; D016893:Carotid Stenosis / Q000150:complications / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000628:therapy*; D002533:Cerebral Angiography; D000077144:Clopidogrel; D016894:Endarterectomy, Carotid; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D020521:Stroke / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology / Q000628:therapy*; D013988:Ticlopidine / Q000031:analogs & derivatives / Q000627:therapeutic use; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014859:Warfarin / Q000627:therapeutic use
D000925:Anticoagulants; D010975:Platelet Aggregation Inhibitors; D014859:Warfarin; D006493:Heparin; D000077144:Clopidogrel; D013988:Ticlopidine