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Case Reports
. 2020 Dec 8;9(1):220-223.
doi: 10.1002/ccr3.3502. eCollection 2021 Jan.

Anticoagulation-refractory strokes and selective infarction pattern: What's the link?

Affiliations
Case Reports

Anticoagulation-refractory strokes and selective infarction pattern: What's the link?

Alexandru Dimancea et al. Clin Case Rep. .

Abstract

Stroke etiology in the form of a CAP should be actively explored, especially in the context of previous negative work-up and anticoagulant-refractory strokes. Dual antiplatelet therapy proved superior to anticoagulation for secondary prevention.

Keywords: aortic arch; case report; complex aortic plaque; dual antiplatelet therapy; ischemic stroke; vertebral artery.

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Conflict of interest statement

None declared.

Figures

Figure 1
Figure 1
MRI‐DWI showing multiple small areas of restricted diffusion in the inferior left cerebellar hemisphere, and at the level of left middle cerebellar peduncle, also present on fluid attenuated inversion recovery sequence (not shown), suggesting subacute ischemic lesions
Figure 2
Figure 2
TEE revealing an aortic arch plaque with a maximum thickness of 9 mm (dotted yellow line) with a superimposed mobile component (yellow arrow)

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