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Acute Common Carotid Artery Bifurcation Thrombus: An Emerging Pattern of Acute Strokes in Patients with COVID-19?

Acute Common Carotid Artery Bifurcation Thrombus: An Emerging Pattern of Acute Strokes in... LETTERS Acute Common Carotid Artery Bifurcation Thrombus: An Emerging Pattern of Acute Strokes in Patients with COVID-19? e read with great interest the recent article by left internal carotid artery, compatible with thrombus (Fig 2). As WGoldberg et al entitled, “Cerebrovascular Disease in in the first case, there was no other evidence of intracranial or COVID-19.” In a patient with coronavirus 2019 (COVID- extracranial atherosclerotic disease. The patient tested positive 19) illness, the authors presented a case of evolving acute for COVID-19. infarcts on CT head examinations at different time points, In both cases, the imaging findings at the proximal internal as well as high-grade stenosis of the proximal right internal carotid arteries were suggestive of acute thrombus: elongated carotid artery. With regard to the right internal carotid ar- and eccentric filling defects extending into the lumen without tery, the authors state, “Given that the patient had evidence other signs of intra- or extracranial atherosclerotic disease. of mild, diffuse extracranial and intracranial atherosclerotic Consequently, these cases highlight patients with COVID-19 disease, the high-grade stenosis of the right ICA was presenting with acute strokes likely related to ipsilateral com- favored to represent atherosclerotic disease; however, acute mon carotid artery bifurcation http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Neuroradiology American Journal of Neuroradiology

Acute Common Carotid Artery Bifurcation Thrombus: An Emerging Pattern of Acute Strokes in Patients with COVID-19?

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Publisher
American Journal of Neuroradiology
Copyright
© 2020 by American Journal of Neuroradiology. Indicates open access to non-subscribers at www.ajnr.org
ISSN
0195-6108
eISSN
1936-959X
DOI
10.3174/ajnr.A6657
Publisher site
See Article on Publisher Site

Abstract

LETTERS Acute Common Carotid Artery Bifurcation Thrombus: An Emerging Pattern of Acute Strokes in Patients with COVID-19? e read with great interest the recent article by left internal carotid artery, compatible with thrombus (Fig 2). As WGoldberg et al entitled, “Cerebrovascular Disease in in the first case, there was no other evidence of intracranial or COVID-19.” In a patient with coronavirus 2019 (COVID- extracranial atherosclerotic disease. The patient tested positive 19) illness, the authors presented a case of evolving acute for COVID-19. infarcts on CT head examinations at different time points, In both cases, the imaging findings at the proximal internal as well as high-grade stenosis of the proximal right internal carotid arteries were suggestive of acute thrombus: elongated carotid artery. With regard to the right internal carotid ar- and eccentric filling defects extending into the lumen without tery, the authors state, “Given that the patient had evidence other signs of intra- or extracranial atherosclerotic disease. of mild, diffuse extracranial and intracranial atherosclerotic Consequently, these cases highlight patients with COVID-19 disease, the high-grade stenosis of the right ICA was presenting with acute strokes likely related to ipsilateral com- favored to represent atherosclerotic disease; however, acute mon carotid artery bifurcation

Journal

American Journal of NeuroradiologyAmerican Journal of Neuroradiology

Published: Aug 1, 2020

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