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1. NEUROSONOLOGY AND CEREBRAL HEMODYNAMICS, vol. 7, 2011, No. 1 , , ,

Free-floating Thrombus in the Internal Carotid Artery – Clinical, Diagnostic and Treatment Problems
Free-floating Thrombus in the Internal Carotid Artery – Clinical, Diagnostic and Treatment Problems
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Free-floating Thrombus in the Internal Carotid Artery – Clinical, Diagnostic and Treatment Problems*
Free-floating Thrombus in the Internal Carotid Artery – Clinical, Diagnostic and Treatment Problems*
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free-floating thrombus
free-floating thrombus
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to review clinical cases with free floating thrombus in the internal carotid
to review clinical cases with free floating thrombus in the internal carotid
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Two men with ischemic stroke (IS) in the territory of the middle cerebry artery (MCA) occurred in the presence of free-floating thrombus in ICA were examined.
Two men with ischemic stroke (IS) in the territory of the middle cerebry artery (MCA) occurred in the presence of free-floating thrombus in ICA were examined. Thrombus was detected with colorcoded duplex sonography and confirmed by CTA.
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A free-floating thrombus (FFT) in carotid artery is an independent risk factor for embolic ischemic strokes (IS) and should be treated on an emergent basis.
A free-floating thrombus (FFT) in carotid artery is an independent risk factor for embolic ischemic strokes (IS) and should be treated on an emergent basis. FFT is diagnosed by color-coded duplex sonography (CCDS) and angiography of the supraaortal arteries [1, 3].
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CTA of supraaortal arteries confirmed the presence of a free floating thrombus in the initial part of the left ICA (fig. 1B).
He reported arterial hypertension with good medication control. Neurologic examination revealed right central hemiparesis, and motor aphasia. Laboratory tests revealed dyslipidemia. Echocardiography excluded the presence of thrombotic masses in the cardiac chambers. Color-coded duplex sonography showed a bifurcation thrombus with a distal-shaped tail creating highgraded stenosis, lying free in the lumen of the internal carotid artery with a total thrombus length – about 4 cm (fig. 1A). CTA of supraaortal arteries confirmed the presence of a free floating thrombus in the initial part of the left ICA (fig. 1B). Computed tomography of head showed small hypodense areas in the parenchyma of the left temporoparietal part of the brain. We began therapy with two antiplatelets (Aspirin, Clopidogrel), low molecular weight Heparin, statin and medications helping protection of the brain parenchyma.An urgent endarterectomy of the left CCA and left ICA with patch plastic was done.
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CTA of supraaortal brain arteries confirmed the presence of a free floating thrombus in
53-year-old male presented at the hospital with repeating IS in the area of the right MCA with light left-sided hemiparesis. He had been treated with antiplatelet, statin, and antihypertensive drugs, which achieved good control of blood pressure and lipid profile. CCDS detected a thrombus in the bifurcation of the right CCA, covering the initial part of the right ICA, leading to about 70-80% stenosis (fig. 2A). CTA of supraaortal brain arteries confirmed the presence of a free floating thrombus in
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Free-floating thrombus in the internal carotid artery
Free-floating thrombus in the internal carotid artery
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In world literature single cases of free-floating thrombus in carotid arteries connected mostly
One of the first known publications on FFT is by Chiari in 1905, in which postmortem intramural thrombus with length of 1.5 cm, which may cause IS to the patient was described [1]. In world literature single cases of free-floating thrombus in carotid arteries connected mostly
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Free-floating thrombus is usually
to recurrent IS are described. The free part of the thrombus is floating synchronous with the cardiac cycle, causing stress on the foot of the mobile structure, leading to distal embolization [4, 8, 12]. Free-floating thrombus is usually
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Free-floating thrombus of the carotid artery: Literature review and case reports.
Bhatti AF, Leon LR, Labropoulos N, Rubinas TL, Rodriguez H, Kalman PG, Schneck M, Psalms SB, Biller J. Free-floating thrombus of the carotid artery: Literature review and case reports.
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Free floating thrombus of the extracranial internal carotid artery.
Combe J, Poinsard P, Besancenot J, Camelot G, Cattin F, Bonneville JF. Free floating thrombus of the extracranial internal carotid artery.
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Free-floating thrombus in the internal carotid artery
Free-floating thrombus in the internal carotid artery
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