Division of Vascular Surgery, Department of Cardiovascular and Thoracic Sciences, University of Messina, Messina, Italy.
J Cardiovasc Med (Hagerstown). 2011 Nov;12(11):819-20. doi: 10.2459/JCM.0b013e32834ba0d4.
The management of the free-floating thrombus (FFT) is difficult, and it is unclear whether surgical or medical treatment is superior. The common carotid artery is rarely involved. An 80-year-old woman presented with right hand weakness and syncope. Ultrasound showed the presence of FFT in the left common carotid artery. A carotid endarterectomy with Dacron patch angioplasty was immediately performed without complications. In the presence of symptoms, the interventional management of FFT is advised.
游离血栓（FFT）的处理较为棘手，手术治疗与药物治疗孰优孰劣尚不明确。FFT 很少累及颈总动脉。一名 80 岁女性因右手无力和晕厥就诊。超声检查显示左侧颈总动脉内有 FFT。立即行颈动脉内膜切除术并使用涤纶补片血管成形术，无并发症发生。有症状时建议采用介入方式处理 FFT。
