Thrombus of the internal carotid artery: the contribution of computed tomographic angiography to clinical management

Intraluminal thrombus adjunct to internal carotid artery plaque is a rare finding on traditional diagnostic imaging. Prompt diagnosis is important as it carries a high risk of recurrent stroke. We describe 2 symptomatic patients with severe stenosis on duplex scanning and internal carotid artery thr...

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Bibliographic Details
Published inVascular and endovascular surgery Vol. 44; no. 4; p. 302
Main Authors Pisimisis, George T, Kantor, Birgit, Kalra, Manju, Pipinos, Iraklis I
Format Journal Article
LanguageEnglish
Published United States 01.05.2010
Subjects
Aged
Carotid Artery Thrombosis - complications
Carotid Artery Thrombosis - diagnostic imaging
Carotid Artery Thrombosis - surgery
Carotid Artery, Internal - diagnostic imaging
Carotid Artery, Internal - surgery
Carotid Stenosis - diagnostic imaging
Carotid Stenosis - etiology
Carotid Stenosis - surgery
Endarterectomy, Carotid
Female
Humans
Male
Middle Aged
Predictive Value of Tests
Severity of Illness Index
Tomography, X-Ray Computed
Ultrasonography, Doppler, Duplex
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Summary:Intraluminal thrombus adjunct to internal carotid artery plaque is a rare finding on traditional diagnostic imaging. Prompt diagnosis is important as it carries a high risk of recurrent stroke. We describe 2 symptomatic patients with severe stenosis on duplex scanning and internal carotid artery thrombus (ICAT) identified on subsequent computed tomographic angiography. Histology of the surgical specimen confirmed the composition predicted by computed tomography. Computed tomographic angiography can provide accurate diagnosis and characterization of internal carotid thrombus and lead to prompt therapeutic intervention.
ISSN:1938-9116
DOI:10.1177/1538574410364420