Endovascular Extraction of an Aortic Arch Thrombus Using Dual Snares and Aspiration Thrombectomy.

ABSTRACT:

Background

Aortic mural thrombi are rare causes of embolic stroke and pose therapeutic challenges, particularly in critically ill patients.

Case summary

A 47-year-old man presented with middle cerebral artery infarction. Imaging revealed a large, mobile mass in the aortic arch, suspected as the embolic source. Surgical removal was contraindicated owing to cerebral hemorrhage, and an endovascular approach was chosen. Using a cerebral protection device, dual snares, and a large-bore aspiration catheter, the thrombus was successfully removed without procedural complications. Histology confirmed an organized thrombus. Despite technical success, the patient died from complications of malignant stroke.

Discussion

This case highlights a unique endovascular strategy for remov

SUBMITTER: Droppa M 

PROVIDER: S-EPMC12714524 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature