| Autor: |
Zachary K. Christian, Alex N. Hoang, Huy Dang, Abdul B. Khan, Daniel M.S. Raper, Zachary S. Pallister, Omar Tanweer |
| Rok vydání: |
2021 |
| Předmět: |
|
| Zdroj: |
Journal of neurosurgery. Case lessons. 3(10) |
| ISSN: |
2694-1902 |
| Popis: |
BACKGROUND Patients with symptomatic high-grade stenosis of the internal carotid artery (ICA) associated with a free-floating thrombus (FFT) present a significant clinical challenge. In general, for patients with moderate to severe symptomatic ICA stenosis, carotid revascularization is recommended within 2 weeks of symptom onset; however, some physicians suggest that revascularization should be delayed in cases with FFT because some data suggest that early surgery with carotid endarterectomy or carotid stent poses a higher risk for stroke. Likewise, delayed revascularization with anticoagulation may increase risk of recurrent stroke. Few reports on the management of FTT included the use of a transcarotid artery revascularization (TCAR) approach for carotid revascularization with mechanical aspiration thrombectomy. OBSERVATIONS This report described the use of TCAR for direct mechanical thrombectomy and carotid stent placement for a patient with 80% right ICA stenosis along with a large FFT extending into the bulb and the external carotid artery. LESSONS The TCAR approach for mechanical thrombectomy and carotid stenting is a safe alternative for early revascularization with low periprocedural stroke risks. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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