Abstract Number ‐ 88: Stroke Secondary to Free Floating Thrombus in a Post‐COVID Patient
Introduction In non COVID ‐19 patients, carotid intraluminal floating thrombi are rare, with a prevalence of 1.6% among patients with acute stroke/TIA In the COVID era, considerable number of cases with thrombus have been reported. Methods Here we report a case of a 47 year old female patient who pr...
| Main Author: | |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-03-01
|
| Series: | Stroke: Vascular and Interventional Neurology |
| Online Access: | https://www.ahajournals.org/doi/10.1161/SVIN.03.suppl_1.088 |
| _version_ | 1827925203510886400 |
|---|---|
| author | Shashank Nagendra |
| author_facet | Shashank Nagendra |
| author_sort | Shashank Nagendra |
| collection | DOAJ |
| description | Introduction In non COVID ‐19 patients, carotid intraluminal floating thrombi are rare, with a prevalence of 1.6% among patients with acute stroke/TIA In the COVID era, considerable number of cases with thrombus have been reported. Methods Here we report a case of a 47 year old female patient who presented with sudden onset left hemiparesis, dysarthria and facial deviation since 12 hours. She had h/o covid 1 month ago MRI Brain – DWI showed multiple embolic infarcts in right MCA territory MRI Angio – moderate to high grade stenosis at the origin of ICA Results Patient was taken up for DSA. Thromboaspiration done and Xact stent deployed across carotid bifurcation into right ICA Post op patient did well and her weakness had almost completely resolved Conclusions Highlighting points in this patient: lack of or only mild underlying atherosclerosis, no cardioembolic source. The highly prothrombotic state of some COVID 19 patients explains the presence of thrombus in medium and large vessels with or without mild atherosclerotic disease. |
| first_indexed | 2024-03-13T05:22:58Z |
| format | Article |
| id | doaj.art-16194eef46864a7188882ba5eeb7c2a7 |
| institution | Directory Open Access Journal |
| issn | 2694-5746 |
| language | English |
| last_indexed | 2024-03-13T05:22:58Z |
| publishDate | 2023-03-01 |
| publisher | Wiley |
| record_format | Article |
| series | Stroke: Vascular and Interventional Neurology |
| spelling | doaj.art-16194eef46864a7188882ba5eeb7c2a72023-06-15T10:40:49ZengWileyStroke: Vascular and Interventional Neurology2694-57462023-03-013S110.1161/SVIN.03.suppl_1.088Abstract Number ‐ 88: Stroke Secondary to Free Floating Thrombus in a Post‐COVID PatientShashank Nagendra0Department of Neurology JJ Hospital Mumbai IndiaIntroduction In non COVID ‐19 patients, carotid intraluminal floating thrombi are rare, with a prevalence of 1.6% among patients with acute stroke/TIA In the COVID era, considerable number of cases with thrombus have been reported. Methods Here we report a case of a 47 year old female patient who presented with sudden onset left hemiparesis, dysarthria and facial deviation since 12 hours. She had h/o covid 1 month ago MRI Brain – DWI showed multiple embolic infarcts in right MCA territory MRI Angio – moderate to high grade stenosis at the origin of ICA Results Patient was taken up for DSA. Thromboaspiration done and Xact stent deployed across carotid bifurcation into right ICA Post op patient did well and her weakness had almost completely resolved Conclusions Highlighting points in this patient: lack of or only mild underlying atherosclerosis, no cardioembolic source. The highly prothrombotic state of some COVID 19 patients explains the presence of thrombus in medium and large vessels with or without mild atherosclerotic disease.https://www.ahajournals.org/doi/10.1161/SVIN.03.suppl_1.088 |
| spellingShingle | Shashank Nagendra Abstract Number ‐ 88: Stroke Secondary to Free Floating Thrombus in a Post‐COVID Patient Stroke: Vascular and Interventional Neurology |
| title | Abstract Number ‐ 88: Stroke Secondary to Free Floating Thrombus in a Post‐COVID Patient |
| title_full | Abstract Number ‐ 88: Stroke Secondary to Free Floating Thrombus in a Post‐COVID Patient |
| title_fullStr | Abstract Number ‐ 88: Stroke Secondary to Free Floating Thrombus in a Post‐COVID Patient |
| title_full_unstemmed | Abstract Number ‐ 88: Stroke Secondary to Free Floating Thrombus in a Post‐COVID Patient |
| title_short | Abstract Number ‐ 88: Stroke Secondary to Free Floating Thrombus in a Post‐COVID Patient |
| title_sort | abstract number 88 stroke secondary to free floating thrombus in a post covid patient |
| url | https://www.ahajournals.org/doi/10.1161/SVIN.03.suppl_1.088 |
| work_keys_str_mv | AT shashanknagendra abstractnumber88strokesecondarytofreefloatingthrombusinapostcovidpatient |