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- Title
Unstable Carotid Artery Thrombus in a Patient With COVID-19 Infection.
- Authors
Kato, Patrick J.; Kato, Jesse; Napier, Jarred A.; Khorfan, Rhami; Aziz, Abdulhameed
- Abstract
We present a case of an unvaccinated, 43-year-old African American female patient with COVID-19 infection and clinical evidence of a left hemispheric stroke. A non-occlusive thrombus with a radiographic target lesion was identified on computed tomography angiography (CTA). A multi-disciplinary discussion regarding concern for embolization was provided due to its unstable nature, as well as evidence of recent stroke. Given her acute COVID-19 infection, symptomatology, and radiographic findings, it was concluded that the etiology of her stroke appeared most consistent with a hypercoagulable-related embolism rather than an atheroembolic event. The patient underwent left carotid artery thrombectomy with bovine patch angioplasty. Operative findings included: left carotid thrombus, minimal plaque after evacuation of the thrombus, and a small proximal internal carotid artery diameter. Given concern for stenosis with primary repair a bovine pericardial patch angioplasty was performed. We present a paradigm for extracranial carotid thrombectomy with therapeutic anticoagulation for COVID-related spontaneous arterial thrombosis.
- Subjects
ANTICOAGULANTS; SKIN diseases; BLOOD vessels; COMPUTED tomography; HEMIPLEGIA; STENOSIS; CAROTID artery thrombosis; STROKE; THROMBECTOMY; VACCINATION status; COVID-19; DISEASE risk factors
- Publication
Vascular & Endovascular Surgery, 2024, Vol 58, Issue 6, p659
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/15385744241240543