1. Acute Symptomatic Free-Floating Thrombus in the Innominate Artery, a Case Series.
- Author
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Torrealba, Jose Ignacio, Valdés, Francisco J, Garrido, Luis, Mertens, Renato, Mariné, Leopoldo, Bergoeing, Michel, and Vargas, Francisco
- Subjects
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THROMBOSIS diagnosis , *THROMBOSIS , *BLOOD vessels , *STROKE , *CEREBRAL circulation , *CAROTID endarterectomy , *ANTICOAGULANTS , *EMBOLISMS , *TREATMENT effectiveness , *BRACHIOCEPHALIC trunk , *THROMBECTOMY , *COMPUTED tomography , *ANGIOGRAPHY - Abstract
Background: Innominate artery embolism may result in upper extremity ischemia or stroke. A free-floating thrombus originating from the IA is an unusual and dangerous disorder with embolic potential. Only isolated cases have been described showing different treatment modalities. Purpose: To present 3 cases of free-floating thrombus in the IA treated at our institution with 3 different approaches. Cases: The first case is a patient with a free-floating thrombus in the IA treated with cervical debranching and ligation of the proximal right carotid artery; another case of a patient treated with a hybrid approach with deployment of an iliac limb in the IA plus right carotid to subclavian bypass; and a third case of a patient operated by open arch thrombectomy. Conclusions: Free-floating thrombus in the IA is a threatening condition feasible to be managed through different customized surgical approaches in specialized centers. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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