Endovascular treatment of free-floating thrombus in the brachiocephalic trunk:A case report
10.3969/j.issn.1002-0152.2025.05.007
- VernacularTitle:无名动脉漂浮血栓血管内治疗1例
- Author:
Ning HAN
1
;
Guodong XU
1
;
Yan ZHAO
1
;
Liang MA
1
;
Hebo WANG
1
Author Information
1. 河北省脑网络与认知障碍疾病重点实验室,河北省人民医院神经内科(石家庄 050051)
- Publication Type:Journal Article
- Keywords:
Endovascular treatment;
Brachiocephalic artery;
Floating thrombus;
Multiple cerebral infarctions;
Embolic protection device
- From:
Chinese Journal of Nervous and Mental Diseases
2025;51(5):295-297
- CountryChina
- Language:Chinese
-
Abstract:
The floating thrombus in the brachiocephalic artery is relatively rare and difficult to diagnose,and it is prone to be missed.This article reports a case of a patient with a floating thrombus in the brachiocephalic artery who underwent endovascular treatment via a combined radial artery and femoral artery approach.The patient presented with slurred speech,weakness in the left limbs,and dizziness.A cranial DWI examination revealed acute cerebral infarction in the right cerebral hemisphere and bilateral cerebellum.A neck CTA examination showed a floating thrombus in the brachiocephalic artery.Currently,there is no consensus on the treatment of floating thrombi in the brachiocephalic artery.The effect of conservative medical treatment for this patient was poor,and endovascular treatment was administered.The vertebral artery and carotid artery protection umbrellas were deployed via the radial artery approach to prevent intraoperative embolism events.A stent was deployed via the femoral artery approach to adhere to the thrombus.A follow-up neck CTA examination of the patient after the operation indicated that the stent was in a good position with complete thrombus apposition.
