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Characteristics and the fate of intraluminal thrombus of the intracranial and extracranial cerebral arteries in acute ischemic stroke patients

Authors
 Hye-Yeon Choi  ;  Byoung Suk Ye  ;  Seong Hwan Ahn  ;  Hyun Ji Cho  ;  Dong-Joon Kim  ;  Seung Min Kim  ;  Ji Hoe Heo 
Citation
 European Neurology, Vol.62(2) : 72-78, 2009 
Journal Title
 European Neurology 
ISSN
 0014-3022 
Issue Date
2009
MeSH
Aged ; Aged, 80 and over ; Angiography, Digital Subtraction ; Brain/blood supply ; Brain/diagnostic imaging ; Brain/pathology ; Brain Ischemia/complications* ; Brain Ischemia/pathology ; Brain Ischemia/therapy ; Cerebral Angiography ; Cerebral Arterial Diseases/complications* ; Cerebral Arterial Diseases/pathology ; Cerebral Arterial Diseases/therapy ; Female ; Follow-Up Studies ; Humans ; Intracranial Thrombosis/complications* ; Intracranial Thrombosis/pathology ; Intracranial Thrombosis/therapy ; Magnetic Resonance Angiography ; Male ; Middle Aged ; Stroke/complications* ; Stroke/pathology ; Stroke/therapy ; Treatment Outcome
Keywords
Intraluminal thrombus ; Stroke ; Angiography ; Carotid duplex ; Prognosis
Abstract
BACKGROUND: The characteristics and fate of intraluminal thrombus (IT), which may incidentally be detected in acute stroke patients, are not well known and the optimal treatment strategy for IT remains controversial. METHODS: We have identified patients with IT in either the extracranial or intracranial artery and followed up on their clinical courses and imaging findings. We categorized it based on its morphology and investigated clinical outcomes and fate of IT in those patients. RESULTS: Among 495 patients with acute ischemic stroke, 9 (1.9%, 8 men, age range of 61-84 years) were identified with IT. Patients with IT could be categorized into three groups: a filling defect (4) during digital subtraction angiography (DSA), a stenosis-mimic lesion on DSA (3), and a mobile mass on carotid duplex (2). All patients had follow-up vascular imaging studies. Complete or partial resolution of IT was seen in 8 patients. Four patients developed transient or minor ischemic symptoms, which were potentially related to IT. Stenosis-mimic lesions and IT adjacent to atherosclerotic plaques appeared to be associated with unstable clinical courses. CONCLUSIONS: IT can be categorized according to its morphological features. The outcome may depend on the morphology and location of the IT.
Full Text
http://www.karger.com/Article/FullText/222776
DOI
10.1159/000222776
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Dong Joon(김동준) ORCID logo https://orcid.org/0000-0002-7035-087X
Kim, Seung Min(김승민) ORCID logo https://orcid.org/0000-0002-4384-9640
An, Sung Whan(안성환)
Ye, Byoung Seok(예병석) ORCID logo https://orcid.org/0000-0003-0187-8440
Cho, Hyun Ji(조현지)
Choi, Hye Yoen(최혜연)
Heo, Ji Hoe(허지회) ORCID logo https://orcid.org/0000-0001-9898-3321
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/103948
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