NDLI: Common Carotid Artery Stump Syndrome Due to Mobile Thrombus Detected by Carotid Duplex Ultrasonography.

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Common Carotid Artery Stump Syndrome Due to Mobile Thrombus Detected by Carotid Duplex Ultrasonography.

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Common Carotid Artery Stump Syndrome Due to Mobile Thrombus Detected by Carotid Duplex Ultrasonography.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Omoto, Shusaku Hasegawa, Yuki Sakai, Kenichiro Matsuno, Hiromasa Arai, Ayumi Terasawa, Yuka Mitsumura, Hidetaka Iguchi, Yasuyuki
Description	Author Affiliation: Omoto S ( Department of Neurology, The Jikei University School of Medicine, Minato-ku, Tokyo, Japan. Electronic address: s-omoto@jikei.ac.jp.); Hasegawa Y ( Department of Neurology, The Jikei University School of Medicine, Minato-ku, Tokyo, Japan.); Sakai K ( Department of Neurology, The Jikei University School of Medicine, Minato-ku, Tokyo, Japan.); Matsuno H ( Department of Neurology, The Jikei University School of Medicine, Minato-ku, Tokyo, Japan.); Arai A ( Department of Radiology, The Jikei University School of Medicine, Minato-ku, Tokyo, Japan.); Terasawa Y ( Department of Neurology, The Jikei University School of Medicine, Minato-ku, Tokyo, Japan.); Mitsumura H ( Department of Neurology, The Jikei University School of Medicine, Minato-ku, Tokyo, Japan.); Iguchi Y ( Department of Neurology, The Jikei University School of Medicine, Minato-ku, Tokyo, Japan.)
Abstract	Carotid stump syndrome is a cause of recurrent embolic stroke following occlusion of the ipsilateral internal carotid artery. The present report describes a case of recurrent cerebral embolism ipsilateral to a chronically occluded left common carotid artery (CCA), i.e., 'CCA stump syndrome.' Doppler color flow imaging showed anterograde flow in the left internal and external carotid arteries, which were supplied by collateral flow from the superior thyroid artery inflowing just proximal to the left carotid bifurcation. According to carotid duplex ultrasonography (CDU), a low-echoic mobile thrombus was noted at the distal stump of the occluded CCA, which presumably caused distal embolism. The low-echoic mobile thrombus dramatically changed to a homogenously high-echoic thrombus, and there was no recurrence of stroke after antiplatelet and anticoagulant therapy. This is the first report to demonstrate a CDU-verified temporal change in the thrombus at the stump in CCA stump syndrome. CDU is a noninvasive and useful technique to characterize hemodynamics, thrombus morphology, and the response to therapy.
File Format	HTM / HTML
ISSN	10523057
Issue Number	10
Journal	Journal of Stroke and Cerebrovascular Diseases
Volume Number	25
e-ISSN	15328511
Language	English
Publisher	Elsevier
Publisher Date	2016-10-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Cardiology
Content Type	Text
Resource Type	Article
Subject	Rehabilitation Neurology (clinical) Surgery Cardiology and Cardiovascular Medicine

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