Three-month clinical outcome after conventional treatment of aged patients with floating thrombus coupled with a high-grade stenosis of the internal caroid artery: Report of two cases

Safety and effectiveness of emergency carotid artery stenting for a high-grade carotid stenosis with intraluminal thrombus under proximal flow control in hyperacute and acute stroke

“…Imai et al 13 reported a patient with acute stroke who deteriorated despite maximal anticoagulation and antiplatelet therapy for a high-grade carotid stenosis with ILT. Watanabe et al 14 reported a patient with acute stroke in whom ILT migrated to the ipsilateral middle cerebral artery resulting in a serious stroke 4 days after starting antithrombotic therapy.…”

Distal migration of a floating carotid thrombus in a patient using oral contraceptives: a case report

“…Biller et al [ 4 ] advocated surgical therapy if the intraluminal clots of the carotid artery involved an accessible lesion in a patient with progressive stroke despite medical therapy. Progressive stroke in patients with a floating thrombi coupled with a high-grade internal carotid artery (ICA) stenosis after starting conventional treatment have been documented [ 9 ]. The authors proposed an optional surgical intervention of carotid artery stenting (CAS) with filter-type devices.…”

Tandem Balloon Protection during Emergency Carotid Artery Stenting of a Stenotic ICA Lesion with Intraluminal Thrombus

“…Delayed CAS after confirming thrombus resolution with anticoagulant and antiplatelet agents may be safer than emergency CAS for treatment of a stenotic lesion with an intraluminal thrombus in neurologically stable patients. 8,9 On the other hand, successful management of a symptomatic, free-floating thrombus in the ICA using CAS with suction embolectomy during flow reversal has been reported. 10 Tsumoto et al 11 performed successful CAS with a reversed-flow system and a GuardWire for a stenotic lesion with an intraluminal thrombus in the subacute stroke stage, although flow reversal was active during initial passage with a balloon guidewire, and predilation, stent placement, and postdilation were performed with the Guard-Wire system alone.…”