You are here

Article Text

Article menu
Download PDFPDF
Ischemic Stroke
CASE REPORT
Nature’s Wastebasket: The Role of the External Carotid Artery in Acute Stroke
  1. Jesse Jones1,
  2. Conrad William Liang2,
  3. Nima Ramezan-Arab3,
  4. Gary Duckwiler1,
  5. Satoshi Tateshima1
  1. 1Department of Radiology, Ronald Reagan UCLA Medical Center, Los Angeles, California, USA
  2. 2NeuroInterventional Surgery, Kaiser Permanente Fontana Medical Center, Fontana, California, USA
  3. 3Long Beach Memorial Medical Center, Long Beach, California, USA
  1. Correspondence to Dr Jesse Jones, jessegajones{at}yahoo.com

Summary

We describe a novel technical approach to acute stroke illustrated by the case of a 41 year old male who presented with tandem right common carotid artery (CCA) and M1 occlusions. His NIHSS was 17 and Alberta stroke programe early CT score (ASPECTs) was 8. Thrombectomy initially proved challenging due to large volume CCA thrombus that repeatedly occluded the aspiration catheters. However, by inflating a balloon distally and pulling clot into the adjacent ECA, we were able to quickly restore distal contrast flow to the intracranial circulation and achieve Thrombolysis In Cerebral Infarction/Arterial Occlusive Lesion (TICI2C/AOL3) revascularization.

  • Stroke
  • Intervention
  • Balloon
  • Thrombectomy

https://doi.org/10.1136/bcr-2017-013228

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    View Full Text

    Footnotes

    • Contributors All authors contributed to this manuscript in an academically meaningful way.

    • Competing interests None declared.

    • Patient consent Patient lost to follow-up; left the hospital against medical advice.

    • Provenance and peer review Not commissioned; externally peer reviewed.