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Fourteen patients with angiographically demonstrated thrombus in the cerebral vessels were treated immediately with anticoagulant or antiplatelet medication. Follow-up angiograms, obtained in eight cases, showed resolution of the thrombus in seven. In no patient did the thrombus progress to occlude the vessel completely, and no new distal emboli were identified on the follow-up angiograms. There were no new permanent neurologic events in these 14 patients while they were undergoing medical therapy. Six patients subsequently underwent delayed endarterectomy to treat underlying stenoses. Our experience indicates that the presence of intraluminal thrombus may not be a surgical emergency.

Original publication

DOI

10.1148/radiology.160.2.3726115

Type

Journal article

Journal

Radiology

Publication Date

08/1986

Volume

160

Pages

369 - 373

Keywords

Adult, Aged, Angiography, Aspirin, Carotid Artery Diseases, Carotid Artery, Internal, Female, Heparin, Humans, Male, Middle Aged, Thrombosis, Warfarin