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.
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Republished with permission from BMJ Case Reports Published 18 January 2017; doi:10.1136/bcr-2016-012904
Contributors All authors contributed significantly to the planning, conduct and reporting of the work described in the paper.
Competing interests None declared.
Patient consent Obtained.
Ethics approval Ethics approval was obtained from the institutional review board.
Provenance and peer review Not commissioned; externally peer reviewed.
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