Article Text
Abstract
Carotid artery free-floating thrombus (FFT) is a rare but clinically significant cause of embolic stroke. Treatment has historically been confined to carotid surgery or best medical therapy, with neither option proved to be superior. However, recent advancements in endovascular interventions have heralded a new age of innovative management strategies for vascular disease. We present three distinct cases of stroke secondary to carotid artery FFT, successfully treated with stent retriever endovascular thrombectomy.
- interventional neuroradiology
- endovascular
- stroke
- large vessel occlusion
- thrombectomy
- free floating thrombus
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Footnotes
Contributors NF: lead author, collected and reported details of cases 1 and 3, drafted and revised the manuscript, approved submitted version and agrees to be accountable for all aspects of the work. RM: drafted and revised the manuscript, approved submitted version and agrees to be accountable for all aspects of work. BG: collected and reported details of case 2, revised the manuscript, approved submitted version and agrees to be accountable for all aspects of work. SD: performed data analysis, approved submitted version and agrees to be accountable for all aspects of work. SM, DR, PO’B: senior authors, advised on service implementation, advised and revised the manuscript, approved submitted version and agree to be accountable for all aspects of the work. JT: senior author, implemented and directed service, acquired data, advised and revised the manuscript, approved submitted version and agrees to be accountable for all aspects of the work.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests SD’s data collection was partially funded by Neuravi, Ltd, as part of a wider research project with the Galway-Mayo Institute of Technology.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.