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Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Ideggyogy+Sz 2021 ; 74 (3-4): 129-134 Nephropedia Template TP
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SARS-Cov-2-fertozes szovodmenyekent kialakult enormis nagysagu carotisthrombus kezelesi lehetosegei #MMPMID33938665
Koncz J; Orosz V; Sulyok Z; Andras E; Kadar B; Olah C
Ideggyogy Sz 2021[Mar]; 74 (3-4): 129-134 PMID33938665show ga
In SARS-CoV-2 positive patients with corresponding neurological symptoms the presence of carotid bifurcation macrothrombus should always be considered. Hypercoagulopathy caused by viral endotheliitis, systemic inflammation and cytokine storm play an important role in its development. Here we present two patients treated with different treatment strategies because of carotid bifurcation macrothrombus as a complication of SARS-CoV-2 infection. In both cases, the soft macrothrombus was eliminated and the patients' neurological condition were improved. Intravenous thrombolysis, acute carotid stenting with embolic filter protection device and mechanical thrombectomy with aspiration are effective treatments.