Multiple thromboembolism induced by vulnerable common carotid plaque at the extremely lower level

Q: What is the clinical evidence from this study?

Study design: Case Report. Population: Multiple thromboembolism / Cerebral infarction (n=1). Intervention: Carotid endarterectomy (CEA).

Q: What does this research mean for the field?

Vulnerable plaques situated at the proximal common carotid artery can cause recurrent artery-to-artery thromboembolisms that progress despite intensive antiplatelet therapy and require surgical intervention. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

Takehiko Takayanagi; Masaya Takemoto

doi:10.3995/jstroke.10721

December 15, 2019NosotchuOpen Access

Multiple thromboembolism induced by vulnerable common carotid plaque at the extremely lower level

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Study Design

Type

Case Report (n=1)

Multicenter

No

Structured PICO

P

Population

A 74-year-old man with hypertension, diabetes, and a history of smoking who presented with multiple thromboembolisms induced by a vulnerable common carotid plaque at an extremely lower level.

I

Intervention

Antiplatelet therapy (escalated from dual to triple therapy) followed by surgical intervention

Highlights a rare case of symptomatic unstable plaque in the proximal common carotid artery causing recurrent thromboembolism despite intensive antiplatelet therapy, ultimately requiring surgery.

Limitations

Single case report
The efficacy and indications of emergency surgery versus best medical medication for patients with unstable carotid artery plaque remain unclear

Implication

Supports CEA consideration after medical failure in rare proximal CCA plaques; leaves open need for prospective validation.

Abstract

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Discussion

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Cite This Study

Takayanagi et al. (2019) conducted a case report in Multiple thromboembolism / Cerebral infarction (n=1). Carotid endarterectomy (CEA) was evaluated.

synapsesocial.com/papers/6aa8f1fb38b6e9f321512d77 https://doi.org/10.3995/jstroke.10721

View Full Paper

Ask AI

Bookmark

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Multiple thromboembolism induced by vulnerable common carotid plaque at the extremely lower level

Study Design

Structured PICO

Limitations

Implication

Abstract

Discussion

Cite This Study

Multiple thromboembolism induced by vulnerable common carotid plaque at the extremely lower level

Study Design

Structured PICO

Limitations

Implication

Abstract

Discussion

Cite This Study

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