Endovascular aspiration of a symptomatic free-floating common carotid artery thrombus
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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.
KeywordsCommon carotid artery thrombus Aspiration Subacute stroke
Common carotid artery
Digital subtraction angiography
National Institute of Neurological Disorders and Stroke
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.
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.
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.
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