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Thrombus information


Thrombus
Other namesBlood clot
Diagram of a thrombus (blood clot) that has blocked a vein valve
SpecialtyVascular surgery
Symptomsabrupt change in mental status, chest pain, cramp-like feeling, fatigue, passing out (syncope), and swelling in the arm and/or leg
Complicationsbleeding risks from taking anticoagulants, breathing problems, heart attacks, stroke
Durationc. 3–6 months
TypesSuperficial thrombophlebiti and Thrombophlebitis migrans
Causesinjury to the artery, sepsis or viral infection, immobility
Risk factorshospitalization, immobility, obesity, pregnancy, physical trauma
Diagnostic methodmagnetic resonance angiography, ultrasound, and venography
Preventionsmoking cessation, regular exercise, improved blood flow, management of comorbidities
TreatmentAnticoagulants: edoxaban, tinzaparin, unfractionated heparin
Medicationapixaban, edoxaban, and rivaroxaban
Deaths100,000–300,000 each year

A thrombus (pl.: thrombi), colloquially called a blood clot, is the final product of the blood coagulation step in hemostasis. There are two components to a thrombus: aggregated platelets and red blood cells that form a plug, and a mesh of cross-linked fibrin protein. The substance making up a thrombus is sometimes called cruor. A thrombus is a healthy response to injury intended to stop and prevent further bleeding, but can be harmful in thrombosis, when a clot obstructs blood flow through healthy blood vessels in the circulatory system.

In the microcirculation consisting of the very small and smallest blood vessels the capillaries, tiny thrombi known as microclots can obstruct the flow of blood in the capillaries. This can cause a number of problems particularly affecting the alveoli in the lungs of the respiratory system resulting from reduced oxygen supply. Microclots have been found to be a characteristic feature in severe cases of COVID-19 and in long COVID.[1]

Mural thrombi are thrombi that adhere to the wall of a large blood vessel or heart chamber.[2] They are most commonly found in the aorta, the largest artery in the body, more often in the descending aorta, and less often in the aortic arch or abdominal aorta.[2] They can restrict blood flow but usually do not block it entirely. They appear grey-red along with alternating light and dark lines (known as lines of Zahn) which represent bands of white blood cells and red blood cells (darker) entrapped in layers of fibrin.[3]

  1. ^ Pretorius E, Vlok M, Venter C, Bezuidenhout JA, Laubscher GJ, Steenkamp J, Kell DB (August 2021). "Persistent clotting protein pathology in Long COVID/Post-Acute Sequelae of COVID-19 (PASC) is accompanied by increased levels of antiplasmin". Cardiovasc Diabetol. 20 (1): 172. doi:10.1186/s12933-021-01359-7. PMC 8381139. PMID 34425843.
  2. ^ a b Singh, Davinder P.; Basit, Hajira; Malik, Ahmad; Mahajan, Kunal (5 November 2021). "Mural Thrombi". PMID 30484999. Retrieved 11 February 2022.
  3. ^ Karaolanis G, Moris D, Bakoyiannis C, Tsilimigras DI, Palla VV, Spartalis E, Schizas D, Georgopoulos S (August 2017). "A critical reappraisal of the treatment modalities of normal appearing thoracic aorta mural thrombi". Ann Transl Med. 5 (15): 306. doi:10.21037/atm.2017.05.15. PMC 5555985. PMID 28856146.

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Thrombus

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Coronary thrombosis

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therapeutic use of contrast ultrasound on thrombus dissolution. Thrombosis is defined as the formation of a thrombus (blood clot) inside a blood vessel, leading...

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Thrombosis

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Left ventricular thrombus

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Left ventricular thrombus is a blood clot (thrombus) in the left ventricle of the heart. LVT is a common complication of acute myocardial infarction (AMI)...

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Embolism

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piece of material, inside a blood vessel. The embolus may be a blood clot (thrombus), a fat globule (fat embolism), a bubble of air or other gas (gas embolism)...

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Thrombus perviousness

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fluid seep into and through them. The more pervious a thrombus, the more fluid it lets through. Thrombus perviousness can be measured using radiological imaging...

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Thromboembolism

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leads to plaque rupture and thrombus formation, or by cardioembolism, which results from the embolization of a cardiac thrombus, such as in atrial fibrillation...

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Embolus

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cause vessel obstruction or occlusion. The free-moving thrombus is called an embolus. A thrombus is always attached to the vessel wall and is never freely...

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Catheter

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left inside the body, the higher the risk of thrombus formation. Larger catheters increase the risk of thrombus formation around the catheter, because they...

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Reperfusion therapy

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an extraction catheter may be used to attempt to aspirate (remove) the thrombus prior to balloon angioplasty. While the use of intracoronary stents do...

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Antithrombotic

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prevention, secondary prevention) or treatment of a dangerous blood clot (acute thrombus). In the U.S., the American College of Chest Physicians publishes clinical...

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Platelet

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there is much overlap, platelet function can be modeled in three steps: Thrombus formation on an intact endothelium is prevented by nitric oxide, prostacyclin...

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Feline arterial thromboembolism

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arteries (Aa. iliacae externae). This is also called "saddle thrombus" or "riding thrombus". This results in an ischemia to the rear extremities. In addition...

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Hematology

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Such diseases might include hemophilia, sickle cell anemia, blood clots (thrombus), other bleeding disorders, and blood cancers such as leukemia, multiple...

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Fibrinolysis

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thrombolysis (the breakdown of a thrombus), fibrinolytic drugs are used. They are given following a heart attack to dissolve the thrombus blocking the coronary artery;...

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Stroke

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stroke. A thrombus itself (even if it does not completely block the blood vessel) can lead to an embolic stroke (see below) if the thrombus breaks off...

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Heart

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exposing the fatty centre to the circulating blood. In this case a clot or thrombus can form, blocking the artery, and restricting blood flow to an area of...

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Atherosclerosis

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thrombogenic components of the plaque, mainly collagen, will trigger thrombus formation. The thrombus then travels downstream to other blood vessels, where the blood...

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Vein

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SVT is the development of a thrombus in a superficial vein. SVT is not normally clinically significant, but the thrombus can migrate into the deep venous...

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Ischemia

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Anticoagulant therapy is initiated to prevent further enlargement of the thrombus. Continuous IV unfractionated heparin has been the traditional agent of...

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Pulmonary embolism

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a "saddle embolus" at the bifurcation of the main pulmonary artery and thrombus burden in the lobar arteries on both sides. Pulmonary embolism (white arrow)...

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Percutaneous coronary intervention

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demonstrate thrombus (blood clots) inside the coronary arteries. Various studies have been performed to determine whether aspirating these clots (thrombus aspiration...

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Circulatory system

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major cardiovascular disease involves the creation of a clot, called a "thrombus". These can originate in veins or arteries. Deep venous thrombosis, which...

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Platelet plug

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The platelet plug, also known as the hemostatic plug or platelet thrombus, is an aggregation of platelets formed during early stages of hemostasis in response...

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Lines of Zahn

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Friedrich Wilhelm Zahn. Thrombus showing circumferential lines of Zahn. Low magnification micrograph showing laminations in a thrombus in a fatal pulmonary...

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Neutrophil

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formation may also impact cardiovascular disease, as NETs may influence thrombus formation in coronary arteries. NETs are now known to exhibit pro-thrombotic...

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Coagulation

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the vessel in which it developed. An embolism is said to occur when the thrombus (blood clot) becomes a mobile embolus and migrates to another part of the...

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