{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T00:45:56Z","timestamp":1777941956029,"version":"3.51.4"},"reference-count":6,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2024,3,18]],"date-time":"2024-03-18T00:00:00Z","timestamp":1710720000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Vasc Endovascular Surg"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:p>We present a case of an unvaccinated, 43-year-old African American female patient with COVID-19 infection and clinical evidence of a left hemispheric stroke. A non-occlusive thrombus with a radiographic target lesion was identified on computed tomography angiography (CTA). A multi-disciplinary discussion regarding concern for embolization was provided due to its unstable nature, as well as evidence of recent stroke. Given her acute COVID-19 infection, symptomatology, and radiographic findings, it was concluded that the etiology of her stroke appeared most consistent with a hypercoagulable-related embolism rather than an atheroembolic event. The patient underwent left carotid artery thrombectomy with bovine patch angioplasty. Operative findings included: left carotid thrombus, minimal plaque after evacuation of the thrombus, and a small proximal internal carotid artery diameter. Given concern for stenosis with primary repair a bovine pericardial patch angioplasty was performed. We present a paradigm for extracranial carotid thrombectomy with therapeutic anticoagulation for COVID-related spontaneous arterial thrombosis.<\/jats:p>","DOI":"10.1177\/15385744241240543","type":"journal-article","created":{"date-parts":[[2024,3,18]],"date-time":"2024-03-18T18:26:29Z","timestamp":1710786389000},"page":"659-662","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Unstable Carotid Artery Thrombus in a Patient With COVID-19 Infection"],"prefix":"10.1177","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-8641-8103","authenticated-orcid":false,"given":"Patrick J.","family":"Kato","sequence":"first","affiliation":[{"name":"Department of Surgery, Section of Vascular and Endovascular Surgery, Trinity Health Ann Arbor, Ypsilanti, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jesse","family":"Kato","sequence":"additional","affiliation":[{"name":"Department of Surgery, Section of Vascular and Endovascular Surgery, Trinity Health Ann Arbor, Ypsilanti, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jarred A.","family":"Napier","sequence":"additional","affiliation":[{"name":"Department of Surgery, Section of Vascular and Endovascular Surgery, Trinity Health Ann Arbor, Ypsilanti, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rhami","family":"Khorfan","sequence":"additional","affiliation":[{"name":"Department of Surgery, Section of Vascular and Endovascular Surgery, Trinity Health Ann Arbor, Ypsilanti, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdulhameed","family":"Aziz","sequence":"additional","affiliation":[{"name":"Department of Surgery, Section of Vascular and Endovascular Surgery, Trinity Health Ann Arbor, Ypsilanti, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,3,18]]},"reference":[{"key":"bibr1-15385744241240543","doi-asserted-by":"publisher","DOI":"10.1001\/jamaneurol.2020.2730"},{"key":"bibr2-15385744241240543","doi-asserted-by":"publisher","DOI":"10.1111\/bjh.16749"},{"key":"bibr3-15385744241240543","doi-asserted-by":"publisher","DOI":"10.1016\/j.thromres.2020.04.041"},{"key":"bibr4-15385744241240543","doi-asserted-by":"publisher","DOI":"10.1177\/1076029620943671"},{"key":"bibr5-15385744241240543","doi-asserted-by":"publisher","DOI":"10.1016\/j.thromres.2020.04.013"},{"key":"bibr6-15385744241240543","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.18626"}],"container-title":["Vascular and Endovascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15385744241240543","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15385744241240543","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15385744241240543","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T06:34:59Z","timestamp":1777703699000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15385744241240543"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,18]]},"references-count":6,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,8]]}},"alternative-id":["10.1177\/15385744241240543"],"URL":"https:\/\/doi.org\/10.1177\/15385744241240543","relation":{},"ISSN":["1538-5744","1938-9116"],"issn-type":[{"value":"1538-5744","type":"print"},{"value":"1938-9116","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,18]]}}}