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抗凝治疗中断后游离漂浮的颈动脉血栓再次出现。

Reappearance of free-floating carotid thrombus after discontinuation of anticoagulant therapy.

作者信息

Naganuma Masaki, Inatomi Yuichiro, Kobayashi Osamu, Nishi Toru, Yonehara Toshiro, Ando Yukio

机构信息

Department of Neurology, Stroke Center, Saiseikai Kumamoto Hospital, Kumamoto, Japan.

Department of Neurology, Stroke Center, Saiseikai Kumamoto Hospital, Kumamoto, Japan.

出版信息

J Stroke Cerebrovasc Dis. 2015 Jan;24(1):e45-7. doi: 10.1016/j.jstrokecerebrovasdis.2014.08.031. Epub 2014 Oct 16.

DOI:10.1016/j.jstrokecerebrovasdis.2014.08.031
PMID:25444030
Abstract

A 73-year-old woman who suddenly developed left hemiparesis was admitted to our hospital. Ultrasonography on admission showed a free-floating thrombus (FFT) attached to an ulcerative plaque in the right common carotid artery. The FFT almost disappeared during treatment with intravenous anticoagulation therapy for acute stroke, but it reappeared when the therapy was discontinued. She underwent endarterectomy on day 13, after which she was free from stroke recurrence.

摘要

一名73岁突发左侧偏瘫的女性被收治入院。入院时超声检查显示右侧颈总动脉溃疡性斑块上附着有一个游离血栓(FFT)。在急性卒中静脉抗凝治疗期间,该游离血栓几乎消失,但治疗中断时又再次出现。她在第13天接受了动脉内膜切除术,术后未再发生卒中复发。

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