Leško Ml M, Guňka I, Lojík M, Krajíčková D
Rozhl Chir. 2016 Fall;95(8):325-8.
Free-floating thrombus in the internal carotid artery is a rare clinical finding. Only case reports and small cohorts of patients are described in the literature. The authors present a case report of a patient with ischemic stroke due to arterio-arterial embolisation from ulcerated internal carotid artery stenosis with a free-floating thrombus. Initially, the patient was treated with anticoagulants, resulting in total dissolution of the free-floating thrombus based on ultrasound documentation, without any further symptomatic embolisation. Endarterectomy was performed in the second step for the critical stenosis of the internal carotid artery. After this combined treatment, the patient showed no neurological deficit. Currently, the opinion on optimal therapy of the free-floating thrombus in the internal carotid artery still remains unclear.
free-floating thrombus - anticoagulation internal carotid artery.
颈内动脉游离血栓是一种罕见的临床发现。文献中仅描述了病例报告和小队列患者。作者报告了一例因溃疡性颈内动脉狭窄伴游离血栓导致动脉-动脉栓塞引起缺血性卒中的患者。最初，患者接受抗凝治疗，根据超声记录游离血栓完全溶解，未发生进一步的症状性栓塞。第二步对颈内动脉严重狭窄进行了内膜切除术。经过这种联合治疗，患者未出现神经功能缺损。目前，关于颈内动脉游离血栓的最佳治疗意见仍不明确。
游离血栓 - 抗凝 - 颈内动脉
