, Volume 60, Issue 10, pp 1103–1107 | Cite as

Endovascular aspiration of a symptomatic free-floating common carotid artery thrombus

  • Kevin CarrEmail author
  • Dustin Tew
  • Luis Becerra
  • Kristina Siddall
  • Laurence Dubensky
  • Yafell Serulle
Short Report


Free-floating thrombi of the common carotid artery (CCA) are a very rare cause of ischemic stroke. To date, only a few reports have been described in the academic literature. Revascularization is indicated due to the risk of thromboembolic disease and hemodynamic-related stroke syndromes. Medical treatment typically includes anticoagulation and, in some circumstances, open surgical thrombectomy is an additional option. Although rarely described in the literature, endovascular thrombectomy is a viable treatment alternative in these patients.


Common carotid artery thrombus Aspiration Subacute stroke 



Common carotid artery


Digital subtraction angiography


National Institute of Neurological Disorders and Stroke


Non-enhanced CT


Compliance with ethical standards


This research was funded (in whole or in part) by HCA and/or an HCA affiliated entity. The views expressed in this publication represent those of the author(s) and do not necessarily represent the official views of HCA or any of its affiliated entities.

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in the studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

We are unable to provide a certified patient consent form at this time. Our patient population typically includes many transient individuals and it is not unusual for patients to be lost to follow-up. The treatment team has exhausted all available means in an effort to contact that patient and/or family including telephone and investigating the physical address on file. We however remain convinced that all elements of anonymity have been utilized to protect both the patient and their families.


  1. 1.
    Bhatti AF, Leon LR Jr, Labropoulos N et al (2007) Free-floating thrombus of the carotid artery: literature review and case reports. J Vasc Surg 45(1):199–205. CrossRefPubMedGoogle Scholar
  2. 2.
    Gonzalez A, Mayol A, Gil-Peralta A et al (2004) Angioplasty of symptomatic high-grade internal carotid artery stenosis with intraluminal thrombus: therapeutic approach. Neuroradiology 46(4):313–317. CrossRefPubMedGoogle Scholar
  3. 3.
    Chakhtoura EY, Goldstein JE, Hobson RW (2003) Management of mobile floating carotid plaque using carotid artery stenting. J Endovasc Ther 10(3):653–656. CrossRefPubMedGoogle Scholar
  4. 4.
    Martin RS 3rd, Edwards WH, Mulherin JL Jr et al (1993) Surgical treatment of common carotid artery occlusion. Am J Surg 165(3):302–306CrossRefPubMedGoogle Scholar
  5. 5.
    Collice M, D’Angelo V, Arena O (1983) Surgical treatment of common carotid artery occlusion. Neurosurgery 12(5):515–524CrossRefPubMedGoogle Scholar
  6. 6.
    Belkin M, Mackey WC, Pessin MS, Caplan LR, O’Donnell TF (1993) Common carotid artery occlusion with patent internal and external carotid arteries: diagnosis and surgical management. J Vasc Surg 17(6):1019–1027 discussion 27–8CrossRefPubMedGoogle Scholar
  7. 7.
    Park JW, Lee DH, Choi CG et al (2012) Various endovascular approaches to the management of free floating carotid thrombi: a technical report. J Neurointerv Surg 4(5):336–338. CrossRefPubMedGoogle Scholar
  8. 8.
    Giragani S, Balani A, Agrawal V (2017) Stentriever thrombectomy with distal protection device for carotid free floating thrombus: a technical case report. J Neurointerv Surg 9(8):e33. CrossRefPubMedGoogle Scholar
  9. 9.
    Penumbra Pivotal Stroke Trial I (2009) The penumbra pivotal stroke trial: safety and effectiveness of a new generation of mechanical devices for clot removal in intracranial large vessel occlusive disease. Stroke 40(8):2761–2768. CrossRefGoogle Scholar
  10. 10.
    Turk AS, Spiotta A, Frei D et al (2014) Initial clinical experience with the ADAPT technique: a direct aspiration first pass technique for stroke thrombectomy. J Neurointerv Surg 6(3):231–237. CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of RadiologyAventura Hospital and Medical CenterMiamiUSA
  2. 2.Aventura Neurologic AssociatesAventura Hospital and Medical CenterMiamiUSA
  3. 3.Department of Emergency MedicineAventura Hospital and Medical CenterMiamiUSA

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