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Comment
. 2020 Aug;41(8):E65-E66.
doi: 10.3174/ajnr.A6657. Epub 2020 Jul 2.

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

E Gulko  1 , W Gomes  1 , S Ali  1 , F Al-Mufti  2 , H Mehta  3
Affiliations
Comment

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

E Gulko et al. AJNR Am J Neuroradiol. 2020 Aug.
No abstract available

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Figures

Fig 1.
Fig 1.
Axial (A and B) and sagittal MIP (C) images from a CT angiogram in a patient with COVID-19 with right frontal and parietal acute-subacute infarcts. There are eccentric filling defects within the right common carotid artery bifurcation extending into the right internal carotid artery (blue arrows), with creation of a donut sign (yellow arrow). Atherosclerotic changes were not present in the remainder of the intracranial and extracranial arterial vasculature. Findings are suggestive of acute thrombus.
Fig 2.
Fig 2.
Axial (A and B) and coronal (C) images from a CT angiogram in a patient presenting with left MCA syndrome and a left middle cerebral artery M1 occlusion. There are eccentric filling defects within the left common carotid artery bifurcation extending into the left internal carotid artery. There are eccentric filling defects within the left common carotid artery bifurcation extending into the left internal carotid artery (blue arrows). Findings are suggestive of acute thrombus.
See this image and copyright information in PMC

Comment on

  • Cerebrovascular Disease in COVID-19.
    Goldberg MF, Goldberg MF, Cerejo R, Tayal AH. Goldberg MF, et al. AJNR Am J Neuroradiol. 2020 Jul;41(7):1170-1172. doi: 10.3174/ajnr.A6588. Epub 2020 May 14. AJNR Am J Neuroradiol. 2020. PMID: 32409316 Free PMC article.

References

    1. Goldberg MF, Goldberg MF Cerejo R, et al. . Cerebrovascular disease in COVID-19. AJNR Am J Neuroradiol 2020;41:1170–72 10.3174/ajnr.A6588 - DOI - PMC - PubMed
    1. Oxley TJ, Mocco J, Majidi S, et al. . Large-vessel stroke as a presenting feature of Covid-19 in the young. N Engl J Med 2020;382:e60 10.1056/NEJMc2009787 - DOI - PMC - PubMed
    1. Bikdeli B, Madhavan MV, Jimenez D, et al. . COVID-19 and thrombotic or thromboembolic disease: implications for prevention, antithrombotic therapy, and follow-up. J Am Coll Cardiol 2020. April 15. [Epub ahead of Print] 10.1016/j.jacc.2020.04.031 - DOI - PMC - PubMed
    1. Singh T, Lee A, Vo R, et al. . Urgent carotid endarterectomy in a COVID-19 patient: standard approach with some adjustments. Vascular Disease Management 2020;17:E104–09

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