scholarly journals A Case of Acute Embolic Occlusion of the Common Carotid Artery in Which a Giant Thrombus was Retrieved Using the Parallel Stent Retriever Technique

Author(s):  
Tenyu Hino ◽  
Masayuki Sato ◽  
Mikito Hayakawa ◽  
Aiki Marushima ◽  
Yoshiro Ito ◽  
...  
2020 ◽  
Vol 101 (2) ◽  
pp. 126-130
Author(s):  
B. M. Sharafutdinov ◽  
S. A. Ryzhkin ◽  
E. A. Gaziev ◽  
I. V. Abdul’yanov ◽  
A. R. Abashev ◽  
...  

The paper describes a clinical case of successfully applying a transradial access during mechanical thrombus extraction in a patient in the acutest stage of ischemic stroke with a congenital anatomical feature (the left common carotid artery and brachiocephalic trunk with the common ostium from the aortic arch).X-ray endovascular interventions were performed in an operating room equipped with a digital angiographic unit including an Axiom Artis dTA flat detector (Siemens Medical System).Mechanical recanalization for acute occlusion of the M2 segment of the left middle cerebral artery (MCA) was carried out using a right radial access into and catheterization of the left internal carotid artery. A stent retriever was inserted into the occlusion area through a microcatheter and was opened. Double thrombus extraction from the left MCA was made using the stent retriever to restore TICI 2B blood flow. There were no signs of dissection, thrombosis, or distal thromboembolism.


2015 ◽  
Vol 87 (3) ◽  
pp. 457-464 ◽  
Author(s):  
Yongjun Jiang ◽  
Yun Li ◽  
Xiaomeng Xu ◽  
Yongyi Yu ◽  
Wenhua Liu ◽  
...  

Author(s):  
Brian Silver ◽  
Irene Gulka ◽  
Michael Nicolle ◽  
Ramesh Sahjpaul ◽  
Vladimir Hachinski

Background:The observation of an intraluminal common carotid artery thrombus overlying a wall defect at ultrasonography or angiography is unusual. To our knowledge, there are no previous reports of a free-floating thrombus in the common carotid artery.Case Report:A 45-year-old woman who was previously healthy and on no medications presented with acute hemiparesis and aphasia. Following testing that included carotid duplex and trancranial Doppler ultrasonography, diffusion-weighted magnetic resonance imaging, and digital subtraction angiography, the patient underwent emergency open embolectomy. No underlying wall defect was seen at the time of imaging or surgery. No obvious hypercoagulable state could be identified. Her NIH Stroke Scale score improved from 26 at admission to 2 at three months and 1 at one year.Conclusions:Multimodal imaging may have improved diagnosis and management in this patient with a unique finding. The source of the thrombus remains obscure.


2018 ◽  
Vol 13 (4) ◽  
pp. 917-920
Author(s):  
Koji Tanaka ◽  
Shoji Matsumoto ◽  
Takeshi Yamada ◽  
Daisuke Kondo ◽  
Hideo Chihara ◽  
...  

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