In SARS-CoV-2 positive patients with corresponding neurological symptoms the presence of carotid bifurcation macrothrombus should always be considered. Hypercoagulopathy caused by viral endotheliitis, systemic inflammation and cytokine storm play an important role in its development. Here we present two patients with treated with different treatment strategies because of carotid bifurcation macrothrombus as a complication of SARS-CoV-2 infection. In both cases, the soft macrothrombus was eliminated and the patients’ neurological condition were improved. Intravenous thrombolysis , acute carotid stenting with embolic filter protection device and mechanical thrombectomy with aspiration are effective treatments.

Csaba Oláh is a consultant neurosurgeon, interventional neuroradiologist and clinical pharmacolist. He has completed his PHD from Debrecen University, Hungary. He is Assistant Professor at Tokaj University. He has over 100 publications that have been cited over 300 times, and his publication h-index is 8. He has been serving as reviewer of several reputed journals.