Open AccessFree-Floating Thrombus in the Distal Internal Carotid Artery Causing a Stroke
Author(s) -
Spyros Papadoulas,
Konstantinos G. Moulakakis,
Natasa Kouri,
Petros Zampakis,
Stavros K. Kakkos
Publication year - 2020
Publication title -
international journal of angiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.293
H-Index - 26
eISSN - 1615-5939
pISSN - 1061-1711
DOI - 10.1055/s-0040-1720973
Subject(s) - medicine , thrombus , cardiology , angiology , stroke (engine) , internal carotid artery , carotid arteries , mechanical engineering , engineering
We present a patient suffering from a stroke with a free-floating thrombus extending up to the distal internal carotid artery. The thrombus was totally resolved after a 2-week anticoagulation regimen without leaving behind any severe residual stenosis in the carotid bulb. The optimal treatment of this rare condition remains uncertain. We report some important treatment strategies that have been used in the literature, emphasizing the anticoagulation as the mainstay of therapy. Immediate surgical and interventional manipulations carry the risk of thrombus dislodgement and embolization and should be considered if there are recurrent symptoms despite medical management.