Accidente cerebrovascular isquémico y trombo flotante de la arteria carótida interna contralateral: ¿manejo médico o invasivo?

Abstract

Introduction

A free-floating carotid thrombus is a rare entity usually detected in the etiological study of an acute neurovascular syndrome.

Clinical case

We describe the case of a patient with ischemic cerebrovascular disease in the territory of the right middle cerebral artery with an incidental finding of a floating thrombus in the left internal carotid successfully treated with heparin and antiplatelet agents.

Conclusions

Carotid thrombosis is a rare entity. It represents a real therapeutic challenge as there are no unified treatment guidelines; however, the strategy based on anticoagulation is safe in most cases.