Ručka D, Lubanda JC, Karetová D, Skalická L, Vařejka P, Mrázek V, Linhart A. Carotid plaque exulcerated
Authors:
David Ručka; Jean Claude Lubanda; Debora Karetová; Lenka Skalická; Petr Vařejka; Vratislav Mrázek; Aleš Linhart
Authors‘ workplace:
Univerzita Karlova v Praze, 1. lékařská fakulta a VFN, II. interní klinika kardiologie a angiologie
Published in:
Čas. Lék. čes. 2011; 150: 106-109
Category:
Case Report
Overview
The authors report a case of a 77 years old male patient with mild stenosis of the carotid artery caused by an exulcerated plaque in the carotid bifurcation. The patient presented with recurrent ipsilateral strokes which were treated with intravenous thrombolysis. A brief review of the literature related to the management of unstable exulcerated carotid plaque is presented in this article with emphasis on current treatment options. Carotid endarterectomy if often performed in such cases. However, the outcome of the procedure remains still very controversial. In the described case, conservative approach using optimal medical treatment with lipid lowering agents, antiplatelet and antihypertensive therapy was chosen mainly because of patient preference and resulted in favourable outcome.
Key words:
atherosclerosis, unstable carotid plaque, carotid artery stenosis, carotid endarterectomy.
Ru.
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Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain managementArticle was published in
Journal of Czech Physicians
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