Successful treatment of thromboses of major arteries after ChAdOx1 nCov-19 vaccination

Germany, 4 October 2021, Goereci et al, Neurological Research and Practice

Summary

We report two cases of major arterial occlusions after ChAdOx1 nCov-19 vaccination comprising a 42 year-old woman with thrombotic occlusion of the left carotid artery, and a 62-year-old man with occlusion of distal aorta and iliac arteries.

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a Axial T1 fat saturated and b coronal Time Of Flight (TOF) MRI images at 1.5 T show evidence of left intracranial ICA thrombotic occlusion in petrous to clinoid ICA segments. c Axial diffusion weighted (DW) and d Fluid Attenuated Inversion Recovery (FLAIR) images reveal concomitant downstream infarction in MCA territory

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a Coronal and b curved multiplanar reconstructions of CT-A (in 5 mm maximum intensity projection) display subtotal thrombotic occlusion of infrarenal aorta and extension of thrombus into both common iliac arteries and right external iliac artery. c Coronal multiplanar reconstruction of CT-A (5 mm maximum intensity projection) and d magnified image show segmental pulmonary artery embolism

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