A case of acute internal carotid artery occlusion treated successfully with stent placement and the Merci retrieval system: a technical case report

信行, 尾原; 真吾, 豊田; 元, 中村; 博之, 井間; 真紀, 小林; 克則, 浅井; 航一, 早川; 文徳, 岩本; 暁, 若山

doi:10.5797/jnet.5.118

Cited by 1 publication

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“…We were concerned that when the thrombi were removed, the retrieval device might be caught on the carotid artery stent and that this would render its extraction difficult. 15,16 Therefore we advanced a balloon-tipped guiding catheter to the distal ICA and slowly inflated the balloon under fluoroscopic guidance.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Mechanical Thrombectomy in a Patient with Symptomatic Carotid Stenosis and Ipsilateral Middle Cerebral Artery Occlusion

Mitsutake

Nii

Aikawa

et al. 2015

JNET

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Objective: We report a case of acute internal carotid artery (ICA) severe stenosis completely recanalized using a stent placement and a Solitaire FR. Case presentation: A 72-year-old man presented with sudden onset of left hemiplegia and dysarthria. MRI showed early ischemic changes in the right insular cortex and frontal cortex along with right severe ICA stenosis. Cerebral angiography demonstrated severe stenosis at the origin of the right ICA and middle cerebral artery (MCA) occlusion. The ICA stenosis was improved by stent placement at the origin of ICA, and MCA occlusion was done by thrombectomy using the Solitaire FR resulting in neurological improvement. Conclusion: IV-tPA therapy was not particularly useful in patients with ICA severe stenosis. However, if standard medical management is ineffective in patients with acute cerebral infarction due to tandem arterial lesions, combined percutaneous revascularization of each lesions can prevent catastrophic events.

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Section: Discussionmentioning

confidence: 99%