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{
    "pk": 48938,
    "title": "The Floating Threat: A Rare Case Report of Carotid Saddle Thrombus in a Healthy Adult",
    "subtitle": null,
    "abstract": "<p><strong>Introduction</strong>: Carotid free-floating thrombus is a rare and potentially devastating cause of ischemic stroke. Diagnosis remains challenging due to the dynamic nature of the lesion.</p>\n<p><strong>Case Report</strong>: We report the case of a 46-year-old female presenting with neck pressure and gait instability, who was found to have a free-floating thrombus at the brachiocephalic-carotid junction. Despite early anticoagulation, she developed biparietal ischemic strokes.</p>\n<p><strong>Conclusion</strong>: This case highlights the challenges in management of carotid free-floating thrombus including appropriate anticoagulation, contraindications to thrombolysis, and the need for multidisciplinary involvement. Emergency physicians must maintain high suspicion for vascular pathology in atypical neurologic presentations and recognize that even optimal medical therapy does not eliminate stroke risk.</p>",
    "language": "eng",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Free-floating thrombus"
        },
        {
            "word": "saddle embolus"
        },
        {
            "word": "carotid artery"
        },
        {
            "word": "anticoagulation"
        },
        {
            "word": "stroke"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/2tc110vg",
    "frozenauthors": [
        {
            "first_name": "Ariel",
            "middle_name": "",
            "last_name": "Droger",
            "name_suffix": "",
            "institution": "HCA FL Aventura Hospital, Department of Emergency Medicine, Aventura, Florida",
            "department": ""
        },
        {
            "first_name": "Rolando",
            "middle_name": "",
            "last_name": "Torres-Castro",
            "name_suffix": "",
            "institution": "HCA FL Aventura Hospital, Department of Emergency Medicine, Aventura, Florida",
            "department": ""
        },
        {
            "first_name": "Kashan",
            "middle_name": "",
            "last_name": "Mahmood",
            "name_suffix": "",
            "institution": "HCA FL Aventura Hospital, Department of Emergency Medicine, Aventura, Florida",
            "department": ""
        },
        {
            "first_name": "Jason",
            "middle_name": "",
            "last_name": "Graf",
            "name_suffix": "",
            "institution": "HCA FL Aventura Hospital, Department of Emergency Medicine, Aventura, Florida",
            "department": ""
        },
        {
            "first_name": "Sean",
            "middle_name": "",
            "last_name": "Serio",
            "name_suffix": "",
            "institution": "HCA FL Aventura Hospital, Department of Emergency Medicine, Aventura, Florida",
            "department": ""
        },
        {
            "first_name": "Alexander",
            "middle_name": "John",
            "last_name": "Scumpia",
            "name_suffix": "",
            "institution": "HCA FL Aventura Hospital, Department of Emergency Medicine, Aventura, Florida",
            "department": ""
        }
    ],
    "date_submitted": "2025-07-22T20:41:13.542000-06:00",
    "date_accepted": "2025-11-13T22:19:51.729000-07:00",
    "date_published": "2026-05-23T23:02:00-06:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "PDF",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/48938/galley/50479/download/"
        }
    ]
}