{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T15:13:23Z","timestamp":1786979603661,"version":"build-2736575974"},"reference-count":18,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2020,3,27]],"date-time":"2020-03-27T00:00:00Z","timestamp":1585267200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,3,27]],"date-time":"2020-03-27T00:00:00Z","timestamp":1585267200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Clin Neuroradiol"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Purpose<\/jats:title>\n                    <jats:p>Free floating thrombus (FFT) is a\u00a0rare condition. The optimal treatment strategy is yet to be determined although medical management with anticoagulation is the mainstay. This article reports experience of treating FFT with carotid stenting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A\u00a0retrospective analysis of a prospectively maintained database was performed to identify all patients with FFT treated with carotid stenting. For each patient the demographic data, clinical presentation, location of the thrombus, type of stent and use of adjunctive devices, e.g. balloon guide catheters, clinical and radiological follow-up information as well as complications were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 7\u00a0patients, 4\u00a0female, with mean age of 55.6\u202f\u00b1\u200914.5\u00a0years were identified. The median National Institutes of Health Stroke Scale (NIHSS) was 7\u00a0(range 0\u201313) at presentation. Free floating thrombus was seen on the left in the majority of cases (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u20096, 85.7%). None of the patients had intracranial large vessel occlusion. The FFT was located in the CCA in 2\u00a0cases (28.6%) and the proximal ICA in the remaining 5\u00a0cases (71.4%). The Wallstent was used in 5\u00a0patients and a\u00a0cGuard stent used in 2\u00a0patients. In 1\u00a0patient 2\u00a0overlapping stents were used but a\u00a0single stent was used in the remaining patients. In 6\u00a0cases a\u00a0distal filter wire was used and in 2 cases a\u00a0balloon guide catheter was used as embolic protection. There were no intraoperative complications and no cases of distal clot migration or intracranial large vessel occlusion during the procedure. At last follow-up (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u20097) 6\u00a0patients were recorded as modified Rankin Scale (mRS) \u22642 and 1 patient was mRS\u00a03.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Free floating thrombus of the carotid arteries can be managed with stenting.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00062-020-00898-y","type":"journal-article","created":{"date-parts":[[2020,3,27]],"date-time":"2020-03-27T07:02:46Z","timestamp":1585292566000},"page":"449-455","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Carotid Stenting as Definitive Treatment for Free Floating Thrombus\u2014Review of 7 Cases"],"prefix":"10.1007","volume":"31","author":[{"given":"P.","family":"Bhogal","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"AlMatter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Aguilar P\u00e9rez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"B\u00e4zner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Henkes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"Hellstern","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,3,27]]},"reference":[{"key":"898_CR1","doi-asserted-by":"publisher","first-page":"199","DOI":"10.1016\/j.jvs.2006.09.057","volume":"45","author":"AF Bhatti","year":"2007","unstructured":"Bhatti\u00a0AF, Leon\u00a0LR Jr, Labropoulos\u00a0N, Rubinas\u00a0TL, Rodriguez\u00a0H, Kalman\u00a0PG et\u00a0al. Free-floating thrombus of the carotid artery: literature review and case reports. J\u00a0Vasc Surg. 2007;45:199\u2013205.","journal-title":"J Vasc Surg"},{"key":"898_CR2","doi-asserted-by":"publisher","first-page":"e19","DOI":"10.1161\/01.CIR.0000046345.41702.33","volume":"107","author":"LA Urbano","year":"2003","unstructured":"Urbano\u00a0LA, Perren\u00a0F, Rossetti\u00a0AO, Von Segesser\u00a0L, Bogousslavsky\u00a0J, Devuyst\u00a0G. Images in cardiovascular medicine. Thrombus in the internal carotid artery complicating an \u201cunstable\u201d atheromatous plaque. Circulation. 2003;107:e19\u201320.","journal-title":"Circulation"},{"key":"898_CR3","doi-asserted-by":"publisher","first-page":"805","DOI":"10.1016\/j.avsg.2011.02.030","volume":"25","author":"E Ferrero","year":"2011","unstructured":"Ferrero E, Ferri M, Viazzo A, Labate C, Pecchio A, Berardi G et\u00a0al. Free-floating thrombus in the internal carotid artery: diagnosis and treatment of 16 cases in a\u00a0single center. 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Neuroradiology. 2018;60:1103\u20137.","journal-title":"Neuroradiology"}],"container-title":["Clinical Neuroradiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00062-020-00898-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00062-020-00898-y\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00062-020-00898-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,6,17]],"date-time":"2021-06-17T12:09:08Z","timestamp":1623931748000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00062-020-00898-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3,27]]},"references-count":18,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021,6]]}},"alternative-id":["898"],"URL":"https:\/\/doi.org\/10.1007\/s00062-020-00898-y","relation":{},"ISSN":["1869-1439","1869-1447"],"issn-type":[{"value":"1869-1439","type":"print"},{"value":"1869-1447","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,3,27]]},"assertion":[{"value":"25 November 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 March 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 March 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical guidelines"}},{"value":"P.\u00a0Bhogal, M.\u00a0Aguilar P\u00e9rez serve as proctors and consultants for phenox. H.\u00a0Henkes is a\u00a0co-founder and shareholder of phenox. M.\u00a0AlMatter, H.\u00a0B\u00e4zner and V.\u00a0Hellstern declare that they have no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"For this type of study formal consent is not required. The data, which are the basis of this manuscript were collected in retrospect as a means of quality assurance. There was no scientific intention related to the treatment of the concerning patients ex ante. According to German law neither the collection of data for the purpose of quality management nor the anonymous publication without identifying information requires the consent of the patient or consultation of the ethics committee concerned (\u00a7 15 Abs. 1 der Berufsordnung der L\u00c4K Baden-W\u00fcrttemberg).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical standards"}}]}}