Carotid Artery Plaque Rupture: Diagnosis, Treatment, and Recovery

In summary, the diagnosis is that a vulnerable plaque in the right carotid artery has ruptured and formed an ulcer, and there is also a floating thrombus (FFT) formation with moderate stenosis at the origin of the right internal carotid artery. DSA, CTA, and MRA all confirmed moderate stenosis with FFT formation at the origin of the right internal carotid artery. Additionally, the patient's MRI showed acute lacunar infarction in the right caudate nucleus, which further confirmed the association of this cerebrovascular event with plaque rupture and thrombus formation. A neurologist performed stent placement and balloon angioplasty after placing a protective umbrella in the distal end of the patient's FFT in the carotid artery. There were no new neurological symptoms after surgery, and the patient was discharged after their condition improved.