Key result
Carotid artery occlusion led to a lethal delayed hemispheric infarction despite anticoagulant therapy, caused by an embolism from the distal tail of a propagated thrombus.
Embolism from a propagated carotid thrombus can cause delayed lethal stroke following carotid occlusion despite anticoagulant therapy.
Alerts clinicians to delayed embolic stroke risk after carotid occlusion despite anticoagulation; leaves open optimal antithrombotic strategies.
A 60-year-old patient suffered a lethal hemispheric infarction 3 days after angiographically documented occlusion of the ipsilateral cervical internal carotid artery and while receiving anticoagulant therapy. Pathologic evidence is consistent with embolism from the distal "tail" of a propagated carotid thrombus as the mechanism of his stroke.
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Finklestein et al. (1980) studied this question. Carotid artery occlusion led to a lethal delayed hemispheric infarction despite anticoagulant therapy, caused by an embolism from the distal tail of a propagated thrombus.
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