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Updated: May 29, 2026
13:10
Combined Near-infrared Fluorescent Imaging and Micro-computed Tomography for Directly Visualizing Cerebral Thromboemboli
Published on: September 25, 2016
A big floating thrombus in the common carotid artery
Michele La Spada1, Francesco Stilo, David Barillà
1Division of Vascular Surgery, Department of Cardiovascular and Thoracic Sciences, University of Messina, Messina, Italy.
Journal of Cardiovascular Medicine (Hagerstown, Md.)
|September 24, 2011
Summary
Management of free-floating thrombus (FFT) in the common carotid artery is challenging. Surgical intervention is recommended for symptomatic FFT, as demonstrated in this case report.
Area of Science:
- Vascular Surgery
- Neurology
- Interventional Cardiology
Background:
- Free-floating thrombus (FFT) management remains challenging, with ongoing debate regarding optimal surgical versus medical treatment strategies.
- The common carotid artery is an uncommon site for FFT, presenting unique diagnostic and therapeutic considerations.
Observation:
- An 80-year-old female presented with acute right-hand weakness and syncope, indicative of cerebrovascular compromise.
- Cervical ultrasound revealed a significant free-floating thrombus within the left common carotid artery.
Findings:
- The patient underwent immediate carotid endarterectomy with Dacron patch angioplasty for the symptomatic left common carotid artery FFT.
- The surgical procedure was completed without any immediate complications.
Implications:
- This case underscores the importance of considering surgical intervention for symptomatic FFT, particularly when located in the common carotid artery.
- Prompt interventional management of FFT in the presence of neurological symptoms can lead to favorable outcomes and prevent further embolic events.
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