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Aortic Thrombus vs. Smoke

Imaging findings

Aortic "smoke" (stasis) in an aneurysmal arch vs. discreet, sharp filling defects indicative of thrombus.

Key takeaways

Distinguish between benign aortic smoke (often associated with low flow) and true thrombus. Intra-aortic balloon pumps can predispose patients to thrombus formation and embolization.

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