Mechanical Thrombectomy of Symptomatic Carotid stenosis with free-floating thrombus in COVID-19 Using Transcarotid Artery Revascularization

Carotid Stenosis with free floating thrombus is associated with ipsilateral neurological deficit as a result of cerebrovascular accident or an ischemic stroke. Arterial thrombosis and thrombus instability have shown an association with COVID-19. Immediate evaluation is essential to asses and prevent thrombus propagation. Traditionally, Transfemoral stenting is performed as a minimally invasive surgery. We hereby describe the successful use of Transcarotid arterial revascularisation (TCAR) on retrograde flow, aspiration of the thrombus utilizing penumbra mechanical thrombectomy, and TCAR stenting in a COVID-19 confirmed case.