Management of vertebral stenosis complicated by presence of acute thrombus
Canyigit, Murat ; Arat, Anil ; Cil, Barbaros E ; Sahin, Gurdal LU
; Turkbey, Baris
and Elibol, Bulent
(2007)
In Cardiovascular and Interventional Radiology
30(2).
p.20-317
- Abstract
A 44-year-old male presented with multiple punctate acute infarcts of the vertebrobasilar circulation and a computed tomographic angiogram showing stenosis of the right vertebral origin. A digital subtraction angiogram demonstrated a new intraluminal filling defect at the origin of the stenotic vertebral artery where antegrade flow was maintained. This filling defect was accepted to be an acute thrombus of the vertebral origin, most likely due to rupture of a vulnerable plaque. The patient was treated with intravenous heparin. A control angiogram revealed dissolution of the acute thrombus under anticoagulation and the patient was treated with stenting with distal protection. Diffusion-weighted magnetic resonance imaging demonstrated no... (More)
A 44-year-old male presented with multiple punctate acute infarcts of the vertebrobasilar circulation and a computed tomographic angiogram showing stenosis of the right vertebral origin. A digital subtraction angiogram demonstrated a new intraluminal filling defect at the origin of the stenotic vertebral artery where antegrade flow was maintained. This filling defect was accepted to be an acute thrombus of the vertebral origin, most likely due to rupture of a vulnerable plaque. The patient was treated with intravenous heparin. A control angiogram revealed dissolution of the acute thrombus under anticoagulation and the patient was treated with stenting with distal protection. Diffusion-weighted magnetic resonance imaging demonstrated no additional acute ischemic lesions. We were unable to find a similar report in the English literature documenting successful management of an acute vertebral ostial thrombus with anticoagulation. Anticoagulation might be considered prior to endovascular treatment of symptomatic vertebral stenoses complicated by the presence of acute thrombus.
(Less)
- author
- Canyigit, Murat
; Arat, Anil
; Cil, Barbaros E
; Sahin, Gurdal
LU
; Turkbey, Baris
and Elibol, Bulent
- publishing date
- 2007
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Acute Disease, Adult, Anticoagulants/therapeutic use, Blood Vessel Prosthesis Implantation, Heparin/therapeutic use, Humans, Male, Stents, Thrombosis/drug therapy, Vertebrobasilar Insufficiency/complications
- in
- Cardiovascular and Interventional Radiology
- volume
- 30
- issue
- 2
- pages
- 4 pages
- publisher
- Springer
- external identifiers
-
- scopus:33846408032
- pmid:16988872
- ISSN
- 0174-1551
- DOI
- 10.1007/s00270-006-0016-9
- language
- English
- LU publication?
- no
- id
- d7d5ea46-f31c-4eb7-9db7-3bad6944e8e8
- date added to LUP
- 2018-08-24 19:54:37
- date last changed
- 2024-01-15 00:20:19
@article{d7d5ea46-f31c-4eb7-9db7-3bad6944e8e8,
abstract = {{<p>A 44-year-old male presented with multiple punctate acute infarcts of the vertebrobasilar circulation and a computed tomographic angiogram showing stenosis of the right vertebral origin. A digital subtraction angiogram demonstrated a new intraluminal filling defect at the origin of the stenotic vertebral artery where antegrade flow was maintained. This filling defect was accepted to be an acute thrombus of the vertebral origin, most likely due to rupture of a vulnerable plaque. The patient was treated with intravenous heparin. A control angiogram revealed dissolution of the acute thrombus under anticoagulation and the patient was treated with stenting with distal protection. Diffusion-weighted magnetic resonance imaging demonstrated no additional acute ischemic lesions. We were unable to find a similar report in the English literature documenting successful management of an acute vertebral ostial thrombus with anticoagulation. Anticoagulation might be considered prior to endovascular treatment of symptomatic vertebral stenoses complicated by the presence of acute thrombus.</p>}},
author = {{Canyigit, Murat and Arat, Anil and Cil, Barbaros E and Sahin, Gurdal and Turkbey, Baris and Elibol, Bulent}},
issn = {{0174-1551}},
keywords = {{Acute Disease; Adult; Anticoagulants/therapeutic use; Blood Vessel Prosthesis Implantation; Heparin/therapeutic use; Humans; Male; Stents; Thrombosis/drug therapy; Vertebrobasilar Insufficiency/complications}},
language = {{eng}},
number = {{2}},
pages = {{20--317}},
publisher = {{Springer}},
series = {{Cardiovascular and Interventional Radiology}},
title = {{Management of vertebral stenosis complicated by presence of acute thrombus}},
url = {{http://dx.doi.org/10.1007/s00270-006-0016-9}},
doi = {{10.1007/s00270-006-0016-9}},
volume = {{30}},
year = {{2007}},
}