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Per-pass analysis of acute ischemic stroke clots: impact of stroke etiology on extracted clot area and histological composition.

Seán FitzgeraldRosanna RossiOana Madalina MereutaDuaa JabrahAdaobi OkoloAndrew DouglasSara Molina GilAbhay PanditRay McCarthyMichael GilvarryDennis DunkerAnnika NordanstigErik CederPetra RedforsKatarina JoodNiclas DehlforsGeorgios MagoufisGeorgios TsivgoulisBrinjikji WDavid F KallmesAlan O'HareSarah PowerPaul BrennanJack AldersonAndrás NagyÁgnes VadászKlearchos PsychogiosIstvan SzikoraTurgut TatlisumakAlexandros RentzosJohn ThorntonKaren M Doyle
Published in: Journal of neurointerventional surgery (2020)
LAA clots are larger and associated with a large red blood cell-rich extracted clot area, suggesting soft thrombus material. Cardioembolic clots are smaller in the extracted clot area, consistent in composition and area across passes, and have higher fibrin and platelets/other content than LAA clots, making them stiffer clots. The per-pass histological composition and extracted clot area of cryptogenic clots are similar to those of cardioembolic clots, suggesting similar formation mechanisms.
Keyphrases
  • red blood cell
  • acute ischemic stroke
  • brain injury