Composition, Treatment, and Outcomes by Radiologically Defined Thrombus Characteristics in Acute Ischemic Stroke

  • Saurav Das
  • , Eric D. Goldstein
  • , Adam De Havenon
  • , Mehdi Abbasi
  • , Thanh N. Nguyen
  • , Diana Aguiar De Sousa
  • , Shadi Yaghi

Research output: Contribution to journalReview articlepeer-review

12 Scopus citations

Abstract

Occlusive and nonocclusive cervicocephalic thrombi can be encountered during neurovascular imaging in patients with acute ischemic stroke. Radiographic and morphological characteristics on basic and advanced imaging modalities can be important clues towards determination of pathomechanism and the choice of acute and subacute treatment modalities. The aim of this review article is to evaluate the epidemiology, radiographic properties, histologic clot composition of cervicocephalic arterial thrombi, and its response to various medical and endovascular therapy modalities. Future studies are needed to derive and validate a classification system for extracranial and intracranial partially occlusive thrombi to enable further testing of various stroke treatment and prevention strategies in these patients.

Original languageEnglish
Pages (from-to)1685-1694
Number of pages10
JournalStroke
Volume54
Issue number6
DOIs
StatePublished - Jun 1 2023

Keywords

  • angiography
  • carotid artery
  • internal
  • ischemic stroke
  • magnetic resonance imaging
  • tomography

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