Clinical implications of the incidental finding of a free-floating thrombus in the internal carotid artery.
Johanna HaertlMark MühlauVerena PernpeintnerChistian SeifertKornelia KreiserChristoph SchäfferSilke WunderlichBenno IkenbergPublished in: Journal of clinical ultrasound : JCU (2020)
We present an 81-year old male in whom a routine carotid artery ultrasonographic follow-up examination incidentally revealed a large, free-floating thrombus (FFT) of the right internal carotid artery. This case focuses on the clinical decision-making regarding FFTs, which constitute a rare condition lacking a diagnostic gold standard with few available data concerning optimum treatment and natural course-in particular regarding patients in whom FFT is an incidental finding. We were able to demonstrate the accuracy of carotid artery ultrasonography in the detection as well as follow-up of FFT. Of clinical interest is furtherly a possible partial disappearance by spontaneous re-adhesion or resolution of the FFT.
Keyphrases
- internal carotid artery
- middle cerebral artery
- end stage renal disease
- decision making
- chronic kidney disease
- newly diagnosed
- ejection fraction
- magnetic resonance imaging
- prognostic factors
- peritoneal dialysis
- clinical practice
- single cell
- patient reported outcomes
- computed tomography
- cystic fibrosis
- label free
- staphylococcus aureus
- deep learning
- patient reported
- loop mediated isothermal amplification
- artificial intelligence
- smoking cessation