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Ischemic stroke
CASE REPORT
Stentriever thrombectomy with distal protection device for carotid free floating thrombus: a technical case report
  1. Suresh Giragani1,
  2. Ankit Balani2,
  3. Vikas Agrawal3
  1. 1Department of Neuroradiology and Interventional Radiology, Yashoda Super Specialty Hospitals, Secunderabad, Telangana, India
  2. 2Department of Radiodiagnosis, Yashoda Super Specialty Hospitals, Secunderabad, Telangana, India
  3. 3Department of Neurology, Yashoda Super Specialty Hospitals, Secunderabad, Telangana, India
  1. Correspondence to Dr Ankit Balani, Department of Radiodiagnosis, Yashoda Super Specialty Hospitals, Secunderabad, Behind Hari Hara Kala Bhawan, Alexander Road, Secunderabad, Telangana 500003, India; drankitbalani{at}gmail.com

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.

  • Thrombectomy
  • Catheter
  • Device
  • Technique

https://doi.org/10.1136/neurintsurg-2016-012904.rep

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    Footnotes

    • 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.