Embolic Cerebral Infarction Caused by Intraluminal Thrombus in the Carotid Siphon Successfully Treated With Combination of Anticoagulant and Antiplatelet Drugs
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概要
- 論文の詳細を見る
A 54-year-old-man experienced serial ischemic embolic strokes and retinal artery embolism in the left carotid territory. In the acute phase, intraluminal thrombus in the left carotid siphon and frequent microembolic signals (MES) in the left middle cerebral artery were detected with magnetic resonance angiography (MRA) and tran-scranial Doppler (TCD). The patient was initially treated with only heparin for 3 days; however, more than 30 MES per 30 min were still detected. After adding ticlopidine as an antiplatelet therapy, MES were suppressed completely. After starting combination therapy of heparin (later warfarin) and ticlopidine, repeated MRA confirmed resolution of carotid thrombus and ischemic stroke did not recur. For management of intraluminal thrombus in the carotid artery, MES with TCD was useful in evaluating the risk of distal embolism. Combination treatment with anticoagulants and ticlopidine can both resolve the thrombus and prevent distal embolism.
- 社団法人日本循環器学会の論文
- 2005-08-20
著者
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Horio Masaru
Ehime University
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Matsuda H
Department Of Cardiovascular Surgery Hyogo Medical College
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Matsuda Hikaru
Cardiovascular Division Osaka Polici Hospital
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YAMAGAMI Hiroshi
Department of Physics, Faculty of Science, Kyoto Sangyo University
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Matsumoto Masayasu
Osaca 2 Study Group
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Matsumoto Masayasu
Department Of Clinical Neuroscience And Therapeutics Hiroshima University Graduate School Of Biomedi
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HORI Masatsugu
Division of Nephrology, Department of Internal Medicine and Therapeutics, Osaka University Graduate
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Matsumoto M
Department Of Clinical Neuroscience And Therapeutics Hiroshima University Graduate School Of Biomedi
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Matsuda Hikaru
大阪大学 医学系研究科心臓血管外科
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OHTSUKI Toshiho
Department of Clinical Neuroscience and Therapeutics, Hiroshima University
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Kitagawa Kazuo
Division of Strokology, Department of Cardiovascular Medicine (A8), Osaka University Graduate School
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Yamagami Hiroshi
Division of Strokology, Department of Cardiovascular Medicine
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Ohtsuki Toshiho
Division of Strokology, Department of Cardiovascular Medicine
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Yamagami Hiroshi
Division Of Strokology Department Of Cardiovascular Medicine
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Yamagami Hiroshi
Department Of Neurology Stroke Center Kobe City Medical Center General Hospital
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Matsuda Hikaru
Division Of Cardiovascular Surgery Cardiovascular Medicine Osaka University Graduate School Of Medic
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Morita Hisaki
Department Of Internal Medicine And Therapeutics Osaka University Graduate School Of Medicine
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Kitagawa Kazuo
Stroke Division Department Of Neurology Osaka University Graduate School Of Medicine
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Hori Masatsugu
Department Of Radiology National Center Hospital For Mental Nervous And Muscular Disorders National
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Hori Masatsugu
Division Of Cardiovascular Surgery Cardiovascular Medicine Osaka University Graduate School Of Medic
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Matsuda Hikaru
Department Of Cardiology Osaka University Graduate School Of Medicine
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Ohtsuki Toshiho
Department Of Clinical Neuroscience And Therapeutics Hiroshima University Graduate School Of Biomedi
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Ohtsuki Toshiho
Division Of Strokology Department Of Cardiovascular Medicine
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Horio Masaru
Division Of Health Sciences Department Of Functional Diagnostic Science Osaka University Graduate Sc
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Hori Masatsugu
Department Of Cardiology Ehime Prefectural Imabari Hospital
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Matsuda Hikaru
Department Of Integrated Medicine Kagawa University
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Matsumoto Masayasu
Department Of Clinical Neuroscience And Therapeutics Graduate School Of Biomedical Science Hiroshima University
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Matsumoto Masayasu
Department of Clinical Neuroscience and Therapeutics Division of Integrated Medical Science, Graduate School of Biomedical Sciences, Hiroshima University
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