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What is your approach for a patient with an acute ischemic stroke caused by an aortic thrombus?
Answer from: at Community Practice
It depends upon the risks, factors, and age of the patients. If they have hypercoagulable states then the patient needs anticoagulation otherwise, aortic atheroma is generally "white" clot which is made up of platelets and cholesterol and hence, treatment would be anti-platelets and cholesterol lowe...
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Answer from: at Academic Institution
Aortic thrombus or complex atheroma >4mm or hypermobile need anticoagulation and hypercoagulable work up.
If no hypercoagulable condition is identified then after 4-8 weeks reimage and, if resolved, de-escalate to antiplatelet.
Comments
at UPMC
I like that response, thanks.
I like that response, thanks.
at Shaare Zedek Medical Center
Thank you. Do you have a reference for the >4mm...
Thank you. Do you have a reference for the >4mm...
at University of Colorado, Climate & Health Dept
I suspect the 4mm rule came from reference materia...
I suspect the 4mm rule came from reference materia...