Journal article
An ischemic stroke patient with free floating thrombus in carotid artery, successfully treated by open carotid thrombectomy: a first case report in Nepal
Hiroshima journal of medical sciences, Vol.61(4), pp.101-103
12/2012
PMID: 23342827
Abstract
Free floating thrombus in the carotid artery is a well-known phenomenon, though relatively rare. We present a case in which we performed open surgery and achieved successful retrieval of the thrombus. A 40 year-old male patient presented with ischemic stroke and mild left hemiparesis. Computerized tomography and magnetic resonance imaging showed infarction in the right parieto-occipital area. Carotid Doppler study showed carotid stenosis on the right side. Further investigation with CT angiography of the neck vessels confirmed significant carotid artery occlusion with a free-floating thrombus in the internal carotid artery. Carotid endarterectomy was planned under EEG monitoring. The right carotid artery was exposed with a vertical incision along the medial margin of the sternocleido-mastoid muscle. The carotid artery was opened and, as expected, showed a soft, mobile thrombus. Thus thrombectomy was planned. A 2 Fr fogarty catheter was introduced distal to the thrombus, the balloon was inflated and pulled back gently, which removed the thrombus completely. There was no postoperative complication and the patient is fine at 1 year follow-up.
Details
- Title: Subtitle
- An ischemic stroke patient with free floating thrombus in carotid artery, successfully treated by open carotid thrombectomy: a first case report in Nepal
- Creators
- Prabin Shrestha - Department of Neurosurgery, Norvic International Hospital, Kathmandu, NepalRupendra AdhikariSamantha TamrakarBasanta PantBhagwan KoiralaSatoshi YamaguchiKaoru Kurisu
- Resource Type
- Journal article
- Publication Details
- Hiroshima journal of medical sciences, Vol.61(4), pp.101-103
- Publisher
- Japan
- PMID
- 23342827
- ISSN
- 0018-2052
- Language
- English
- Date published
- 12/2012
- Academic Unit
- Neurosurgery
- Record Identifier
- 9984040434402771
Metrics
26 Record Views