Spontaneous Early Recanalization after Acute Innominate Artery Thromboembolic Occlusion Secondary to Abrupt Aspirin and Statin Discontinuation: A Case Report

Tsai, Chia‐Kuang; Jt, Lee; Yc, Wu; Gs, Peng

doi:10.7727/wimj.2013.257

Cited by 3 publications

(2 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[15] Whether the administration of these drugs had definitively positive effects on spontaneous recanalization still remains to be elucidated with a larger sample-size cohort.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, these patients were all treated with oral antiplatelet agents and statins, which can inhibit the aggregation and stabilization of platelets, reverse the formation of atherosclerotic plaques, suppress focal inflammatory responses, and stabilize endothelial cells of blood vessels. [ 15 ] Whether the administration of these drugs had definitively positive effects on spontaneous recanalization still remains to be elucidated with a larger sample-size cohort.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Spontaneous recanalization of atherosclerotic middle cerebral artery occlusion

et al. 2017

View full text Add to dashboard Cite

Rationale:Intracranial vascular atherosclerotic occlusion is one of the most common causes of ischemic stroke world wide. The involvement of large intracranial vessels, in particular, the middle cerebral artery, is usually associated with unfavorable outcomes in patients. Spontaneous recanalization of atherosclerotic occlusion is relatively rare.Patient concerns:The first patient was a 43-year-old male with slurred speech and left-sided weakness for a duration of 24 hours. The second was a 59-year-old male with left-sided weakness over a period of 13 hours. The last was a 49-year-old female patient presented with a 1-month history of right-sided headache.Diagnoses:Atherosclerotic middle cerebral artery occlusion.Interventions:In all cases, oral aspirin (100 mg; once daily), Plavix (75 mg; once daily), and Lipitor (40 mg; once daily) were used . Oral Plavix was stopped 3 months.Outcomes:Spontaneous recanalization occured in the three cases of atherosclerotic middle cerebral artery occlusion.Lessons:Spontaneous recanalization may occur in both early and late stages of atherosclerotic middle cerebral artery occlusion. Clinicians should be aware of this particular condition, as it may represent a relatively favorable prognosis.

show abstract

“…[15] Whether the administration of these drugs had definitively positive effects on spontaneous recanalization still remains to be elucidated with a larger sample-size cohort.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Spontaneous recanalization of atherosclerotic middle cerebral artery occlusion

et al. 2017

View full text Add to dashboard Cite

show abstract

Cardioembolic stroke with acute upper limb artery thromboembolic occlusion: a case report

et al. 2020

View full text Add to dashboard Cite

show abstract

A case of recanalization of innominate artery and right middle cerebral artery embolism due to cardiogenic cerebral infarction with anticoagulation therapy

et al. 2017

View full text Add to dashboard Cite

An 80-year-old woman had an aortic valve replacement 1 month before admission and took warfarin for transient atrial fibrillation. She developed a disturbance of consciousness and left hemiplegia. On admission, the right radial artery was slightly palpable. Head MRI images showed a hyper-intense area in the right middle cerebral artery territory. MRA images showed an occlusion of the right M1 distal site and decreased signal at the right internal carotid artery. Contrast CT images of the ascending aorta showed an embolus in the innominate artery. She was diagnosed with an innominate artery saddle embolus and occlusion of the right cerebral artery due to cardiac embolism. She was treated with a heparin infusion and warfarin. She recovered consciousness and from hemiplegia gradually. Recanalization of the innominate artery and right cerebral artery was confirmed. In cases where the radial artery is slightly palpable, it is necessary to consider an innominate artery saddle embolus in addition to aortic dissection.

show abstract

Spontaneous Early Recanalization after Acute Innominate Artery Thromboembolic Occlusion Secondary to Abrupt Aspirin and Statin Discontinuation: A Case Report

Abstract: ABSTRACT

Cited by 3 publications

References 19 publications

Spontaneous recanalization of atherosclerotic middle cerebral artery occlusion

Spontaneous recanalization of atherosclerotic middle cerebral artery occlusion

Cardioembolic stroke with acute upper limb artery thromboembolic occlusion: a case report

A case of recanalization of innominate artery and right middle cerebral artery embolism due to cardiogenic cerebral infarction with anticoagulation therapy

Contact Info

Product

Resources

About