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Updated: Nov 4, 2025

Combined Near-infrared Fluorescent Imaging and Micro-computed Tomography for Directly Visualizing Cerebral Thromboemboli
Published on: September 25, 2016
Free-Floating Thrombus in the Distal Internal Carotid Artery Causing a Stroke
Spyros Papadoulas1, Konstantinos Moulakakis1, Natasa Kouri1
1Department of Vascular Surgery, University Hospital of Patras, Patras, Greece.
Abstract:
We present a patient suffering from a stroke with a free-floating thrombus extending up to the distal internal carotid artery. The thrombus was totally resolved after a 2-week anticoagulation regimen without leaving behind any severe residual stenosis in the carotid bulb. The optimal treatment of this rare condition remains uncertain. We report some important treatment strategies that have been used in the literature, emphasizing the anticoagulation as the mainstay of therapy. Immediate surgical and interventional manipulations carry the risk of thrombus dislodgement and embolization and should be considered if there are recurrent symptoms despite medical management.
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