Skip to main content
SpringerLink
Log in

Angioplasty of symptomatic high-grade internal carotid artery stenosis with intraluminal thrombus: therapeutic approach

  • Interventional Neuroradiology
  • Published:
Neuroradiology Aims and scope Submit manuscript

Abstract

Intraluminal thrombus in the internal carotid artery (ICA) is usually found in patients with severe atheromatous stenosis. Having reviewed 300 carotid angioplasties for symptomatic >70% ICA stenosis, we found three patients (1%) with intraluminal thrombus. Conservative treatment with anticoagulants and double antiplatelet coverage can result in lysis of the thrombus without severe risks. Percutaneous transluminal angioplasty and stenting, preferably with distal protection, can be an excellent alternative to carotid endarterectomy.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1a–d
Fig. 2a–f

Similar content being viewed by others

References

  1. Kishore PRS, Chase NE, Kricheff II (1971) Carotid stenosis and intracranial emboli. Radiology 100: 351–356

    PubMed  Google Scholar 

  2. Roberson GH, Scout WR, Rosenbaum AE (1973) Thrombi at the site of carotid stenosis: radiographic diagnosis. Radiology 109: 353–356

    PubMed  Google Scholar 

  3. Pelz DM, Buchan A, Fox AJ, Barnett HJ, Viñuela F (1986) Intraluminal thrombus of the internal carotid arteries: angiographic demonstration of resolution with anticoagulant therapy alone. Radiology 160: 369–373

    PubMed  Google Scholar 

  4. Buchan A, Gates P, Pelz D, Barnett HJ (1988) Intraluminal thrombus in the cerebral circulation. Implications for surgical management. Stroke 19: 681–687

    PubMed  Google Scholar 

  5. Biller J, Adams HP Jr, Boarini D, Godersky JC, Smoker WR, Kongable G (1986) Intraluminal clot of the carotid artery. A clinical-angiographic correlation of nine patients and literature review. Surg Neurol 25: 467–477

    PubMed  Google Scholar 

  6. Villarreal J, Silva T, Eliasziw M, et al (1998). Prognosis of patients with an intraluminal thrombus in the internal carotid artery. Stroke 29: 276

    Google Scholar 

  7. Igawa T, Nagamura Y, Ozeki Y, Itoh H, Unemi F (1995). Stenosis enhances role of platelets in growth of regional thrombus and intimal wall thickening in rat carotid arteries. Circulation Res 77: 310–316

    PubMed  Google Scholar 

  8. Torvik A, Svindland A, Lindboe CF (1989). Pathogenesis of carotid thrombosis. Stroke 20: 1477–1483

    PubMed  Google Scholar 

  9. Heros RC (1988). Carotid endarterectomy in patients with intraluminal thrombus. Stroke 19: 667–668

    PubMed  Google Scholar 

  10. Hofmann R, Kerschner K, Steinwender C, Kypta A, Bibl D, Leisch F (2002) Abciximab bolus injection does not reduce cerebral. ischemic complications of elective carotid artery stenting. A randomized study. Stroke 33: 725–727

    Article  PubMed  Google Scholar 

  11. Qureshi AI, Fareed MKS, Zulfiqar A, et al (2002). Carotidangioplasty and stent placement: a prospective analysis ofperioperative complications and impact of intravenously administered abciximab. Neurosurgery 50: 466–475

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Sección de Neurorradiología Intervencionista, Servicio de Radiología, Hospital Universitario Virgen del Rocío, Avenida Manuel Siurot s/n, Avenida Manuel Siurot s/n, 41013, Sevilla, Spain

    A. González & A. Mayol

  2. Servicio de Neurología, Hospital Universitario Virgen del Rocío, Avenida Manuel Siurot s/n, 41013, Sevilla, Spain

    A. Gil-Peralta & J. R. González-Marcos

  3. Servicio de Neurofisiología, Hospital Universitario Virgen del Rocío, Avenida Manuel Siurot s/n, 41013, Sevilla, Spain

    F. Boza

  4. Unidad de Cuidados Intensivos, Hospital Universitario Virgen del Rocío, Avenida Manuel Siurot s/n, 41013, Sevilla, Spain

    J. Ruano

Authors
  1. A. González
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. A. Mayol
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. A. Gil-Peralta
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. J. R. González-Marcos
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. F. Boza
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. J. Ruano
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to A. González.

Rights and permissions

Reprints and permissions

About this article

Cite this article

González, A., Mayol, A., Gil-Peralta, A. et al. Angioplasty of symptomatic high-grade internal carotid artery stenosis with intraluminal thrombus: therapeutic approach. Neuroradiology 46, 313–317 (2004). https://doi.org/10.1007/s00234-004-1168-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00234-004-1168-4

Keywords

Search

Navigation