Stentriever thrombectomy with distal protection device for carotid free floating thrombus: a technical case report

BMJ Case Rep. 2017 Jan 18:2017:bcr2016012904. doi: 10.1136/bcr-2016-012904.

Abstract

We report the clinical details, imaging findings and management of a 45-year-old man who presented with recurrent transient ischemic attacks due to carotid free floating thrombus. Free floating thrombus of the carotid artery is a very rare condition with a high risk of distal embolic shower. The optimal treatment options are debatable and include medical management, surgical thrombectomy and endovascular thrombectomy. We describe the use of a stentriever with filter protection in the management of carotid free floating thrombus as a novel treatment option.

Keywords: Catheter; Device; Technique; Thrombectomy.

Publication types

  • Case Reports

MeSH terms

  • Carotid Artery Thrombosis / complications
  • Carotid Artery Thrombosis / diagnostic imaging
  • Carotid Artery Thrombosis / surgery*
  • Cerebral Angiography
  • Computed Tomography Angiography
  • Humans
  • Intracranial Embolism / diagnostic imaging
  • Intracranial Embolism / etiology
  • Magnetic Resonance Angiography
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Thrombectomy / methods*
  • Ultrasonography, Doppler, Color