J Neurosonol Neuroimag.
2023 Dec;15(2):97-100. 10.31728/jnn.2023.00143.
Two Cases of Thrombus Resolution Unrelated to Large Artery Atherosclerosis or Alteplase Use
- Affiliations
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- 1Department of Neurology, CHA Bundang Medical Center, School of Medicine, CHA University, Seongnam, Korea
- 2Department of Neurology, Yonsei University College of Medicine, Seoul, Korea
- 3Department of Neurosurgery, CHA Bundang Medical Center, School of Medicine, CHA University, Seongnam, Korea
- 4Department of Radiology, CHA Bundang Medical Center, School of Medicine, CHA University, Seongnam, Korea
- KMID: 2550075
- DOI: http://doi.org/10.31728/jnn.2023.00143
Abstract
- Thrombus resolution is generally associated with a favorable prognosis. Patients with thrombus resolution often present with erythrocyte-rich thrombi, frequently associated with large artery atherosclerosis or alteplase use. This might explain the increased rate of cervical carotid artery occlusion and reduced incidence of atrial fibrillation in patients with thrombus resolution. However, recent reports have demonstrated that thrombus resolution can occur owing to several etiologies and various factors. We present two cases of thrombus resolution: one associated with internal carotid artery dissection and the other with a left atrial appendage thrombus. Notably, both were considered to be unrelated to large-artery atherosclerosis or alteplase use.
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